Individual
MR. WALTOWER BRANDON UTLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6323 GEORGIA AVE NW STE 200, WASHINGTON, DC 20011-1141
(202) 525-3954
(202) 525-2580
Mailing address
625 MARYLAND AVE NE, WASHINGTON, DC 20002-5811
(202) 531-5279
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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