Individual
LUIS MEJIA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7000
Mailing address
2460 WINTHROP DR, CHARLOTTESVILLE, VA 22911-3578
(336) 596-0640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001265998
VA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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