Individual
ANDREA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2148 W MERCURY BLVD, HAMPTON, VA 23666-3111
(757) 827-1940
(757) 896-4715
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 896-4715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101272470
VA
Other
Enumeration date
04/01/2018
Last updated
09/08/2021
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