Individual
RONNEY O ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12789 CARA DRIVE, WOODBRIDGE, VA 22192
(703) 490-5251
Mailing address
12789 CARA DR, WOODBRIDGE, VA 22192-2732
(703) 490-5251
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
364SP0200X
VA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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