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NPI Code Detail

MEDICARE: ZAKIYA DUVALL

MEDICARE:   ZAKIYA  DUVALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2372600000XAdult Companion

General Provider Information

NPI Number : 1730655093
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAKIYA DUVALL
Provider Business Mailing Address
First Line : 3663 22ND ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3663 22ND ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6163
Country : US
Telephone Number : 202-412-6804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2018
Last Update Date : 10/15/2018

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Directions to “ ZAKIYA DUVALL ” Practice Location

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