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Organization
CASA WELLNESS
Active
Organization
CASA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYRA BUTRON (OFFICE MANAGER)
(571) 866-0963
Entity
Organization
Contact information
Practice address
14130 NOBLEWOOD PLZ STE 301, WOODBRIDGE, VA 22193-1467
(703) 485-0470
(703) 986-0825
Mailing address
14130 NOBLEWOOD PLZ STE 301, WOODBRIDGE, VA 22193-1467
(703) 485-0470
(703) 986-0825
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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