Individual
MARIO EDUARDO JOHANSON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 CONNECTICUT AVE NW APT 101, WASHINGTON, DC 20008-2300
(240) 608-0938
Mailing address
9701 FIELDS RD APT 600, GAITHERSBURG, MD 20878-2729
(240) 608-0938
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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