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Individual

LETICIA ESTELA HELLEBY-HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4075
(540) 932-5199
Mailing address
PO BOX 843, CROZET, VA 22932-0801
(336) 765-8614
(336) 765-8605

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101255245
VA
208000000X
Pediatrics Physician
2007-01949
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147XC
BCBS
05
5908432
NC
Enumeration date
07/24/2007
Last updated
08/28/2019
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