HERSON BLADIMIR CARRILLO

WASHINGTON, DC
NPI1073399721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-09-07
Last Update Date2023-09-07
Business Address
HERSON BLADIMIR CARRILLO
1001 LAWRENCE ST NE
WASHINGTON, DC 20017-3513
Phone number: 202-635-5900
Mailing Address
HERSON BLADIMIR CARRILLO
1001 LAWRENCE ST NE
WASHINGTON, DC 20017-3513
Phone number: 202-635-5900