Individual
MALLIKA VELICHETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-4455
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-4455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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