Individual
CARMILLA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FITNESS TRAINER
Contact information
Practice address
12515 LANGNER DRIVE, FORT WASHINGTON, MD 20744
(240) 779-1622
Mailing address
12515 LANGNER DRIVE, FORT WASHINGTON, MD 20744
(202) 253-7539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013433069
—
DC
Enumeration date
08/21/2017
Last updated
03/29/2018
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