Individual
AGNES OLIVIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 9TH ST SE, WASHINGTON, DC 20032-4075
(202) 536-0768
Mailing address
4523 RUNNING DEER WAY, BOWIE, MD 20720-3710
(240) 508-8409
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7031300
—
DC
Enumeration date
02/18/2022
Last updated
02/18/2022
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