IndividualActive
Maurice Proctor
NPI 1205790599 · Contractor · Washington, DC
Provider details
- NPI number
- 1205790599
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1301 Lenfant Sq Se
Washington, DC 20020-6724
Phone: (704) 293-5639
Approximate (ZIP-level) locationGet directions
Mailing address
3790 Martin Luther King Jr Ave Se Apt B7
Washington, DC 20032-1574
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.