Individual
TIA MARIA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
747 YUMA ST SE, WASHINGTON, DC 20032-3756
(202) 750-8353
Mailing address
219 51ST ST NE APT 31, WASHINGTON, DC 20019-5423
(202) 709-1230
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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