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Individual

ROSALIA ESMERALDA VILLALTA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1039 BLADENSBURG RD NE, WASHINGTON, DC 20002-2922
(202) 459-7904
Mailing address
346 OGLETHORPE ST NE, WASHINGTON, DC 20011-1636
(202) 459-7904

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
06/08/2023
Last updated
07/27/2023
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