Individual
GABRIEL MALUENDA RAZETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7227
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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