Individual
GREGORY L OLAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 DISTRIBUTION CIR, SILVER SPRING, MD 20910-1261
(240) 372-0770
Mailing address
5708 WILSON LN, BETHESDA, MD 20817-6203
(240) 372-0770
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
123320
MD
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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