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Individual

JUAN MANUEL RODRIGUEZ LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6006 28TH ST NW, WASHINGTON, DC 20015-1506
(202) 368-8999
Mailing address
1404 LONGFELLOW ST NW APT 101, WASHINGTON, DC 20011-6829

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
11/19/2018
Last updated
11/19/2018
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