Individual
BIANCA D LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10901 CONN AVE STE 100, KENSINGTON, MD 20895-1645
(240) 290-1041
Mailing address
2601 1ST ST S, ARLINGTON, VA 22204-1862
(703) 899-4074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC002912
MD
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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