Organization
OLYMPIA FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNICE NATALIE MUCUIS-PENHA MD (MEDICAL DIRECTOR)
(804) 639-8145
Entity
Organization
Contact information
Practice address
14024 WILEY CIR, MIDLOTHIAN, VA 23114-5578
(804) 639-8145
Mailing address
14024 WILEY CIR, MIDLOTHIAN, VA 23114-5578
(804) 639-8145
(804) 818-2637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101249977
VA
Other
Enumeration date
07/22/2014
Last updated
03/07/2023
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