Individual
MR. OMAR SILLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
11738 S LAUREL DR, APT 4A, LAUREL, MD 20708-2940
(202) 499-0885
Mailing address
11738 S LAUREL DR, APT 4A, LAUREL, MD 20708-2940
(202) 499-0885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00117360
IL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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