Individual
ALFONSO W SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4202 13TH ST NW APT 212, WASHINGTON, DC 20011-5644
(202) 657-1108
Mailing address
215 HARRY S TRUMAN DR APT 22, UPPER MARLBORO, MD 20774-2045
(202) 657-1108
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MD
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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