Individual
MR. ALLY ATHUMANI WALLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6120 KANSAS AVE NE, JD NURSING & MANAGEMENT,, WASHINGTON, DC 20011
(202) 722-7779
(202) 722-7779
Mailing address
6120 KANSAS AVE NE, JD NURSING & MANAGEMENT,, WASHINGTON, DC 20011
(202) 722-7779
(202) 722-7779
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA8312
DC
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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