Individual
DOMINGO ANTONIO ENCARNACION PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1736 RHODE ISLAND AVE NE APT 407, WASHINGTON, DC 20018-1789
(301) 260-5133
Mailing address
4306 R ST, CAPITOL HEIGHTS, MD 20743-6710
(301) 260-5133
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
MD-10272296662
MD
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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