Organization
DR FERNANDEZ FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTO D FERNANDEZ MD (MEDICAL DIRECTOR)
(703) 417-9678
Entity
Organization
Contact information
Practice address
2946 SLEEPY HOLLOW RD, SUITE B-BASEMENT, FALLS CHURCH, VA 22044-2003
(703) 417-9678
Mailing address
2946 SLEEPY HOLLOW RD, SUITE B-BASEMENT, FALLS CHURCH, VA 22044-2003
(703) 417-9678
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101039947
VA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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