Individual
CASSIDY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 FORT DR STE 425, CENTREVILLE, VA 20121-2471
(703) 263-3147
Mailing address
5900 FORT DR STE 425, CENTREVILLE, VA 20121-2471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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