Individual
WIMOLWAN NILDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2701 ONTARIO RD NW, WASHINGTON, DC 20009-2144
(202) 391-1214
Mailing address
2701 ONTARIO RD NW, WASHINGTON, DC 20009-2144
(202) 391-1214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2286
DC
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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