Individual
CHARISSE VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(619) 757-3847
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0111603374
VA
Other
Enumeration date
05/28/2020
Last updated
07/11/2025
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