Individual
SOCORRITO LOUISE BAEZ-PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6204 VENGO CT, ALEXANDRIA, VA 22312-1242
(703) 941-1321
(703) 941-8291
Mailing address
6204 VENGO CT, ALEXANDRIA, VA 22312-1242
(703) 568-8555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101037568
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101037568
VIRGINIA LICENSE
VA
Enumeration date
08/21/2017
Last updated
08/21/2017
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