Individual
CAROLY LUCY GUILLEN AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12107 OLD LINE CTR, WALDORF, MD 20602-2552
(240) 207-6450
Mailing address
8250 WESTPARK DR APT 570, MC LEAN, VA 22102-3178
(703) 505-2563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0103670
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
02/13/2026
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