Individual
GIFT N WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003-4318
(202) 864-4184
Mailing address
12217 BARE BUSH PATH, COLUMBIA, MD 21044-3798
(202) 407-1745
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
DC
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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