Most Relevant Information
Provider Data
NPI Number: | 1003500372 |
Provider Name: | ROSALIA ESMERALDA VILLALTA |
Entity Type: | Individual |
Taxonomy Code: | 172V00000X |
Specialty: | Community Health Worker |
License Number: |
Most Important Dates
Enumeration Date: | 06/08/2023 |
Last Updated: | 07/27/2023 |
Provider Practice Location
1039 BLADENSBURG RD NE
WASHINGTON
DC
200022922
Practice Location Phone/Fax
Phone: | 2024597904 |
Fax: |
Provider Mailing Location
346 OGLETHORPE ST NE
WASHINGTON
DC
200111636
Provider Mailing Phone/Fax
Phone: | 2024597904 |
Fax: |