Individual
REINA ELIZABETH AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MERCANTILE LN STE 134B, LARGO, MD 20774-5332
(202) 836-7178
Mailing address
1300 MERCANTILE LN STE 134B, LARGO, MD 20774-5332
(202) 836-7178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP12863
LGPC
MD
Enumeration date
07/09/2022
Last updated
04/27/2024
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