Individual
MARY ARRIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 MEDICAL PARK BLVD STE F, PETERSBURG, VA 23805-9283
(804) 520-8135
(804) 520-8092
Mailing address
34 MEDICAL PARK BLVD STE F, PETERSBURG, VA 23805-9283
(804) 520-8135
(804) 520-8092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101036597
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6714412
—
VA
Enumeration date
11/07/2005
Last updated
04/02/2013
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