Individual
OLMEDO ELOY VILLAVICENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
601 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1044
(703) 271-8800
(703) 271-8585
Mailing address
601 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1050
(703) 271-8800
(703) 271-8585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101018401
VA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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