Individual
MRS. DESTINEE ALYANA TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-5756
(202) 461-3687
Mailing address
718 CLOPPER RD, GAITHERSBURG, MD 20878-1335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000609
DC
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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