Individual
MRS. LATOYA LILES-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4248 BENNING RD NE, WASHINGTON, DC 20019-4531
(202) 748-5608
Mailing address
4248 BENNING RD NE, WASHINGTON, DC 20019-4531
(202) 498-1299
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
DC
224P00000X
Prosthetist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/03/2020
Last updated
02/07/2024
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