Individual
DR. DAISY PASCUALVACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3301 NEW MEXICO AVE NW, SUITE 221, WASHINGTON, DC 20016-3622
(202) 537-6155
(202) 537-6055
Mailing address
3301 NEW MEXICO AVE NW, SUITE 221, WASHINGTON, DC 20016-3622
(202) 537-6155
(202) 537-6055
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1632
DC
103G00000X
Clinical Neuropsychologist
Primary
2911
MD
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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