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Individual

CELESTINE WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5336 COLORADO AVE NW APT B3, WASHINGTON, DC 20011-3635
(202) 247-1064
Mailing address
1925 BARRINGTON CT, BOWIE, MD 20721-2703
(240) 893-3443

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/07/2023
Last updated
04/07/2023
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