Individual
GINA M SIMONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3915 OLD LEE HWY, 22C, FAIRFAX, VA 22030-2432
(703) 385-7007
(703) 385-4384
Mailing address
3915 OLD LEE HWY, 22C, FAIRFAX, VA 22030-2432
(703) 385-7007
(703) 385-4384
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070511
ANTHEM
VA
01
—
0817136
AETNA
—
Enumeration date
09/13/2005
Last updated
11/24/2010
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