Organization
QAVS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA RODIS RUALES MD (OWNER)
(361) 215-1262
Entity
Organization
Contact information
Practice address
4954 VALLEY VIEW OVERLOOK, ELLICOTT CITY, MD 21042-6276
(361) 215-1262
Mailing address
4954 VALLEY VIEW OVERLOOK, ELLICOTT CITY, MD 21042-6276
(361) 215-1262
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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