Individual
BELTA TO OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2646
(202) 827-9961
(202) 827-9963
Mailing address
2759 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2646
(202) 827-9961
(202) 827-9963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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