Individual
FIONA MIENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 OPITZ BLVD, WOODBRIDGE, VA 22191-3362
(703) 590-8300
(703) 590-8301
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(866) 266-0555
(866) 266-4999
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101271401
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
08/07/2023
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