Individual
ALIS ALSIRA ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 BONNIE RIDGE DR NE, LEESBURG, VA 20176-3616
(571) 839-2310
Mailing address
712 BONNIE RIDGE DR NE, LEESBURG, VA 20176-3616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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