Individual
MR. ALFONSO ANDRE PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4645 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-3622
(240) 701-5112
Mailing address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(240) 701-5112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
04/25/2023
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