Individual
MS. PHEBE REYNOSO GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT NURSING ASST
Contact information
Practice address
6490 WOLF RUN SHOALS RD, FAIRFAX STATION, VA 22039-1742
(703) 250-1944
Mailing address
6490 WOLF RUN SHOALS RD, FAIRFAX STATION, VA 22039-1742
(703) 250-1944
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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