Individual
MR. WILFREDO CHICAS TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ENGINEER ELECTRONICS
Contact information
Practice address
6305 23RD AVE, WEST HYATTSVILLE, MD 20782-1744
(301) 257-6844
Mailing address
6305 23RD AVE, WEST HYATTSVILLE, MD 20782-1744
(301) 257-6844
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
8900165
HI
171WV0202X
Vehicle Modifications Contractor
81713
MD
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
332BC3200X
Customized Equipment (DME)
Primary
81713
MD
3418M1130X
Military or U.S. Coast Guard Water Transport Ambulance
81713
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21582009
—
MD
Enumeration date
02/06/2023
Last updated
02/06/2023
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