Provider Demographics
NPI:1326825183
Name:STURGIS, DAVON DEMETRE (FIRST AID)
Entity Type:Individual
Prefix:MR
First Name:DAVON
Middle Name:DEMETRE
Last Name:STURGIS
Suffix:
Gender:M
Credentials:FIRST AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 7TH ST SW APT 512A701
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2822
Mailing Address - Country:US
Mailing Address - Phone:202-779-5982
Mailing Address - Fax:
Practice Address - Street 1:1100 2ND PL SE APT 702
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2563
Practice Address - Country:US
Practice Address - Phone:202-590-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC432661374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide