Individual
WUILIAN ALBERTO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4914 55TH AVE, HYATTSVILLE, MD 20781-2601
(240) 305-2463
Mailing address
4914 55TH AVE, HYATTSVILLE, MD 20781-2601
(240) 305-2463
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
20233720
MD
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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