Individual
MS. CRYSTAL TELLECHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S WHITING ST, ALEXANDRIA, VA 22304-3418
(571) 527-0233
Mailing address
26353 BAPTIST CHURCH RD, MECHANICSVILLE, MD 20659-4554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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