Individual
MIGUELA TALAVERA GUTIERREZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MCDONALD ARMY COMMUNITY HOSPITAL, BLDG 576, FT EUSTIS, VA 23604
(575) 314-7682
(757) 314-7511
Mailing address
509 THOMAS BRANSBY, WILLIAMSBURG, VA 23185-8244
(757) 314-7682
(757) 314-7511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101026126
VA
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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