Individual
JOSE ADALID AGUILUZ SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7676 NEW HAMPSHIRE AVE, SUITE 220A, TAKOMA PARK, MD 20912-7512
(301) 431-2972
Mailing address
112 BEAUMONT RD, SILVER SPRING, MD 20904-1215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R203540
MD
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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