Individual
MS. AMIYA CHANEL RATTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3020
(202) 476-3091
Mailing address
39 BOXWOOD AVE, WILMINGTON, DE 19804-1820
(302) 310-1269
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
PA200001962
DC
Other
Enumeration date
10/02/2024
Last updated
12/27/2024
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