Larry Wall

NPI #1427640283 in Landover Hills, Maryland

Provider Information

NPI Number
1427640283
Entity Type
Individual
Name
Larry Wall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Feb 3, 2021
Last Updated
Feb 3, 2021

Practice Location

Address
7523 BUCHANAN STREET
Address 2
APT 242
ZIP Code
20784
Phone
(240) 901-0484

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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