Provider Demographics
NPI:1215631387
Name:CLAROS FLORES, ESTEFFANY MARYORI (CMA)
Entity type:Individual
Prefix:
First Name:ESTEFFANY
Middle Name:MARYORI
Last Name:CLAROS FLORES
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 FAIRWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2432
Mailing Address - Country:US
Mailing Address - Phone:202-644-1035
Mailing Address - Fax:
Practice Address - Street 1:1400 L ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3509
Practice Address - Country:US
Practice Address - Phone:202-644-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy