Individual
MRS. MYRA CALONGCAGONG OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
18075 TOMPKINS CT, DUMFRIES, VA 22026-2477
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305205351
VA
Other
Enumeration date
04/25/2009
Last updated
04/25/2009
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