Individual
DORIAN GERALDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12644 COUNCIL OAK DR, WALDORF, MD 20601-3585
(301) 442-7370
Mailing address
12644 COUNCIL OAK DR, WALDORF, MD 20601-3585
(301) 442-7370
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MD
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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