Individual
EDDIE DALLAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 27TH ST SE APT 102, WASHINGTON, DC 20020-3958
(202) 594-4868
Mailing address
1720 27TH ST SE APT 102, WASHINGTON, DC 20020-3958
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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