RICHARD ILOG

SPRINGFIELD, VA
NPI1225880925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: VA  8983)
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
RICHARD ILOG
7026 COMMERCE ST
SPRINGFIELD, VA 22150-3433
Phone number: 301-728-4956
Mailing Address
RICHARD ILOG
7026 COMMERCE ST
SPRINGFIELD, VA 22150-3433
Phone number: 301-728-4956