Individual
MR. SCOTT LANO DIVINAGRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5215 W CEDAR LN, BETHESDA, MD 20814-1548
(301) 897-5500
Mailing address
5517 ALDERBROOK CT APT 104, ROCKVILLE, MD 20851-2416
(417) 540-4602
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MD
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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