Pinnacle Family Practice, Llc

NPI 1255751228 - Clinic/Center - 261QP2300X

NPI Details
NPI 1255751228
Enumeration Date 04/17/2014
Last Updated 04/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name VANESSA BILLSTONE VANESSA
Position PHYSICIAN OWNER
Phone (703) 965-3168
Fax (703) 000-0000
Practice Location
13135 LEE JACKSON MEMORIAL HWY STE 202
FAIRFAX VA, 22033-1907, US
Phone (703) 965-3168
Fax (703) 000-0000
Business Location
13135 LEE JACKSON MEMORIAL HWY STE 202
FAIRFAX VA, 22033-1907, US
Phone (703) 965-3168
Fax (703) 000-0000
Toxanomy
Taxonomy Code 261QP2300X
License State Virginia
License Number 0101221501
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According to our database, Pinnacle Family Practice, Llc NPI is 1255751228, taxonomy code is 261QP2300X and license number is 0101221501, license state is located at Virginia. Pinnacle Family Practice, Llc physically located at 13135 Lee Jackson Memorial Hwy Ste 202, Fairfax VA, 22033-1907. NPI Number 1033115704 has the healthcare provider type.

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1255751228 NPI number is provided on an as is basis without warranty of any kind. 1255751228 is maintained by the National Plan & Provider Enumeration System. The contents of Pinnacle Family Practice, Llc are for informational purposes only.