Individual
RENE ALFREDO FAGALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3930 BROOK RD, RICHMOND, VA 23227-4143
(804) 517-9428
(804) 262-1033
Mailing address
3930 BROOK RD, RICHMOND, VA 23227-4143
(804) 517-9428
(804) 262-1033
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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