Individual
MR. LORIS MARLON NEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(703) 506-0123
Mailing address
11514 CANTERBURY CT, MITCHELLVILLE, MD 20721-2281
(240) 328-8979
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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