Individual
ALEXANDER PIO POBLETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(793) 776-3582
Mailing address
416 WOODLAWN RD, BALTIMORE, MD 21210-2311
(410) 916-3452
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116038140
VA
Other
Enumeration date
06/15/2023
Last updated
07/06/2023
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