Individual
ROMARICO BALOTRO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
1069 W BROAD ST STE 908, FALLS CHURCH, VA 22046-4610
(703) 506-0725
Mailing address
1714 MAXWELL CT, MC LEAN, VA 22101-5459
(703) 506-0725
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2509
VA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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