Individual
LESTER BOHORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7620 CARROLL AVE, SUITE #101, TAKOMA PARK, MD 20912-6387
(301) 891-6286
(301) 891-6285
Mailing address
8630 FENTON ST, SUITE #1204, SILVER SPRING, MD 20910-3806
(240) 499-2636
(240) 499-2602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R197374
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130061000
—
MD
Enumeration date
06/24/2014
Last updated
06/24/2014
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