Individual
LOUIS EDGARD ELIACIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NORTHWYND CIR APT 1102, LYNCHBURG, VA 24502-3446
(434) 709-9009
Mailing address
301 NORTHWYND CIR APT 1102, LYNCHBURG, VA 24502-3446
(434) 709-9009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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