Provider Demographics
NPI:1821663527
Name:PLATER, DEJON
Entity Type:Individual
Prefix:
First Name:DEJON
Middle Name:
Last Name:PLATER
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 1:5702 QUEENS CHAPEL RD APT 1
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3863
Mailing Address - Country:US
Mailing Address - Phone:202-696-3792
Mailing Address - Fax:
Practice Address - Street 1:4319 3RD ST SE APT 204
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3213
Practice Address - Country:US
Practice Address - Phone:202-903-3026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant