Organization
LOS 3 VASQUITOS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE FELIX ETCHEGOYEN (MANAGER)
(202) 247-5784
Entity
Organization
Contact information
Practice address
7900 JENSEN PL, BETHESDA, MD 20817-4671
(954) 696-4012
Mailing address
7900 JENSEN PL, BETHESDA, MD 20817-4671
(202) 247-5784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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