Individual
MISS LEWAHN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6139 OXON HILL RD, OXON HILL, MD 20745-3108
(202) 549-8744
Mailing address
6139 OXON HILL RD # 1030, OXON HILL, MD 20745-3108
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
06/09/2021
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