Individual
CHAMINDA INDIKA JAYATILAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822 ARCOLA AVE, SILVER SPRING, MD 20902-2831
(301) 215-0163
Mailing address
1822 ARCOLA AVE, SILVER SPRING, MD 20902-2831
(301) 215-0163
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
15AL636
MD
Other
Enumeration date
01/28/2022
Last updated
02/02/2022
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