Individual
CECILE ELIZABETH DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4044
(204) 483-0000
Mailing address
603 LARRYMORE CT, RICHMOND, VA 23225-6015
(810) 333-0399
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001264810
VA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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