Individual
GUSTAVO JESUS PASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3340 WOODBURN RD, ANNANDALE, VA 22003-1202
(703) 207-7714
Mailing address
2800 ALBEMARLE ST NW, WASHINGTON, DC 20008-1036
(202) 425-8379
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002069258
VA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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