Most Relevant Information
Provider Data
| NPI Number: | 1003060252 |
| Provider Name: | LISSETH CARMEN CALVIO 390200000X |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2008 |
| Last Updated: | 11/13/2008 |
Provider Practice Location
8901 WISCONSIN AVE
BETHESDA
MD
208890001
Practice Location Phone/Fax
| Phone: | 3012950500 |
| Fax: | 3012956720 |
Provider Mailing Location
8901 WISCONSIN AVE
BETHESDA
MD
208890001
Provider Mailing Phone/Fax
| Phone: | 3012950500 |
| Fax: |