| Venceremos, Llc. | |
|
14321 Winter Breeze Dr # 50 Midlothian VA 23113-2452 | |
| (571) 317-1833 | |
| Not Available |
| Full Name | Venceremos, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14321 Winter Breeze Dr # 50, Midlothian, Virginia |
| Authorized Official Name and Position | Yesenia Carolina Villalta (OWNER) |
| Authorized Official Contact | 5713171833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venceremos, Llc. 14321 Winter Breeze Dr # 50 Midlothian VA 23113-2452 Ph: (571) 317-1833 | Venceremos, Llc. 14321 Winter Breeze Dr # 50 Midlothian VA 23113-2452 Ph: (571) 317-1833 |
| NPI Number | 1114682051 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114682051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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