Individual
BLADIMIR HENRIQUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(410) 706-0501
Mailing address
206 HUTTON ST, GAITHERSBURG, MD 20877-2056
(410) 706-0501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R231781
MD
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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