Healthcare Provider Details

I. General information

NPI: 1184533606
Provider Name (Legal Business Name): RAS WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9509 WELLINGTON ST
LANHAM MD
20706-3645
US

IV. Provider business mailing address

9509 WELLINGTON ST
LANHAM MD
20706-3645
US

V. Phone/Fax

Practice location:
  • Phone: 301-742-3337
  • Fax:
Mailing address:
  • Phone: 301-742-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: