Individual
OMAR VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 SHERIDAN ST NW, WASHINGTON, DC 20011-1240
(202) 594-0938
Mailing address
527 SHERIDAN ST NW, WASHINGTON, DC 20011-1240
(202) 594-0938
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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