Individual
DR. CLEMENTE SOLANTE ESTRERA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HWDMC, 7TH ALBEMARLE, PETERSBURG, VA 23803
(804) 525-7420
(804) 524-4828
Mailing address
12930 CHESDIN LANDING DR, CHESTERFIELD, VA 23838-3234
(804) 590-3773
(804) 590-3772
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101027965
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101027965
STATE MEDICAL LICENSE
VA
Enumeration date
02/03/2006
Last updated
07/08/2007
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