Fair Oaks Skin Care Center, Ltd

NPI 1831225507 - Specialist - 174400000X

NPI Details
NPI 1831225507
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRENDA BRENDA
Position PRESIDENT
Phone (703) 648-2488
Fax (703) 648-2489
Practice Location
3700 JOSEPH SIEWICK DR
SUITE 403
FAIRFAX VA, 22033-1744, US
Phone (703) 648-2488
Fax (703) 648-2489
Business Location
3700 JOSEPH SIEWICK DR
SUITE 403
FAIRFAX VA, 22033-1744, US
Phone (703) 648-2488
Fax (703) 648-2489
Toxanomy
Taxonomy Code 174400000X
License State Virginia
License Number 0101046760
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According to our database, Fair Oaks Skin Care Center, Ltd NPI is 1831225507, taxonomy code is 174400000X and license number is 0101046760, license state is located at Virginia. Fair Oaks Skin Care Center, Ltd physically located at 3700 Joseph Siewick Dr, Fairfax VA, 22033-1744. NPI Number 1033115704 has the healthcare provider type.

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1831225507 NPI number is provided on an as is basis without warranty of any kind. 1831225507 is maintained by the National Plan & Provider Enumeration System. The contents of Fair Oaks Skin Care Center, Ltd are for informational purposes only.