Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A38174 | CA |
NPI | 1336233881 |
---|---|
Provider Name | Dr. Praxedes Villacastin Belandres |
First Address | Beltsville, MD 20705-1567 |
Second Address | Washington, DC 20307-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |