Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 0401416819 | VA |
Y | 1223X0400X | Orthodontists | DEN2000049 | DC |
NPI | 1003312968 |
---|---|
Provider Name | Dr. Sheira Lee Ramos Velez |
First Address | Vienna, VA 22180-4222 |
Second Address | Vienna, VA 22180-4222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2018 |
Last Update Date | 29/09/2021 |