Basic Information
Provider Information
NPI: 1326453945
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALENTIN-FRIEBELE
FirstName: LETIZIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3300 GALLOWS RD
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220423307
CountryCode: US
TelephoneNumber: 7037767834
FaxNumber:  
Practice Location
Address1: 2333 ONTARIO RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200092627
CountryCode: US
TelephoneNumber: 2024838196
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X0116027331VAN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XMD045431DCY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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