Individual
MR. ROBERTO NESTOR DEPETRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
14300 GALLANT FOX LN, BOWIE, MD 20715-4003
(301) 520-7017
Mailing address
9501 ACCORD DR, POTOMAC, MD 20854-4302
(301) 520-7017
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01746
MD
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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