Individual
NELSON TALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
9619 MUIRKIRK RD, LAUREL, MD 20708-2620
(443) 758-2299
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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