Provider Demographics
NPI:1992528756
Name:BRYANT-MCCOMBS, DAQUAN MARKETT
Entity type:Individual
Prefix:
First Name:DAQUAN
Middle Name:MARKETT
Last Name:BRYANT-MCCOMBS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 32ND ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2304
Mailing Address - Country:US
Mailing Address - Phone:202-839-6921
Mailing Address - Fax:
Practice Address - Street 1:6300 32ND ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2304
Practice Address - Country:US
Practice Address - Phone:202-839-6921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant