Individual
DAZYA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 BELLEVUE TER NW, WASHINGTON, DC 20007-1367
(202) 903-8512
Mailing address
2817 BELLEVUE TER NW, WASHINGTON, DC 20007-1367
(202) 903-8512
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70234858
—
DC
Enumeration date
11/29/2017
Last updated
11/29/2017
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