Individual
HELEN ROSARIO JARAMILLO GUTIERREZ DE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4208 EVERGREEN LN, ANNANDALE, VA 22003-3235
(703) 642-7522
(703) 642-7565
Mailing address
4208 EVERGREEN LN STE 213, ANNANDALE, VA 22003-3254
(703) 642-7522
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101276143
VA
207V00000X
Obstetrics & Gynecology Physician
ME139108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103688700
—
FL
01
—
LO827
MEDICARE
FL
Enumeration date
04/22/2014
Last updated
12/06/2022
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