Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 01012464016 | VA |
NPI | 1073708814 |
---|---|
Provider Name | Dr. Suhein D Galloza Rivera |
First Address | North Chesterfield, VA 23235-4730 |
Second Address | North Chesterfield, VA 23235-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 21/02/2019 |