LESLIE C ELLWOOD

FAIRFAX, VA
NPI1992877450
Professional NameLESLIE ELLWOOD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152WP0200X Optometrist, Pediatrics
(Licence: VA  0101025766)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
Dr. LESLIE C ELLWOOD MD
12784 FOX KEEP RUN
FAIRFAX, VA 22033-2233
Phone number: 703-817-1030
Mailing Address
Dr. LESLIE C ELLWOOD MD
12784 FOX KEEP RUN
FAIRFAX, VA 22033-2233
Phone number: 703-817-1030
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