Individual
JAIME CARTER WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
620 MICHIGAN AVE NE, WASHINGTON, DC 20064-0001
(202) 319-6049
(202) 319-4752
Mailing address
7302 RIVERHILL RD, OXON HILL, MD 20745-1031
(517) 414-9970
(202) 319-6049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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