Individual
SANDRA MARIELA PALAVECINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9111 ANTIQUE ALY, UNIT 1, BRIDGEVILLE, DE 19933-4682
(302) 337-9320
(302) 337-9640
Mailing address
9111 ANTIQUE ALY, UNIT 1, BRIDGEVILLE, DE 19933-4682
(302) 337-9320
(302) 337-9640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0010163
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619104874
—
DE
Enumeration date
06/15/2009
Last updated
02/12/2014
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