Individual
MARY E CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1418 6TH STREET, VICTORIA, VA 23974-0000
(434) 696-5555
(434) 696-1625
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
(434) 200-5047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1695358
CIGNA
VA
01
—
2202780
UHC/MAMSI
VA
01
—
4555951
AETNA
VA
01
—
61459604
BLACK LUNG/FECA
VA
01
—
8202780
UHC-PCP
VA
Enumeration date
04/26/2006
Last updated
09/23/2015
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