Individual
DE'ANDRE ANTONINO WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE STREET BOX 800713, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5700
(434) 924-1736
Mailing address
1215 LEE STREET BOX 800713, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5700
(434) 924-1736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040411
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2020
Last updated
06/11/2025
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