Individual
HERVINTZ DESERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7006
(202) 450-5822
Mailing address
9802 BRISTOL SQUARE LN APT 302, BETHESDA, MD 20814-5460
(781) 817-9292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
07/09/2025
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