Individual
RON WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7849 MICHELE DR, LANDOVER, MD 20785-4562
(240) 601-8665
Mailing address
7849 MICHELE DR, LANDOVER, MD 20785-4562
(240) 601-8665
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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