Individual
ODELKYS ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
3017 GATEWAY DR APT 201, SUFFOLK, VA 23435-1146
(305) 772-5256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001268610
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174615
VA
Other
Enumeration date
11/14/2016
Last updated
05/25/2019
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