Organization
JONES BRANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA VERGNETTI ND, PHD (CEO)
(703) 937-7169
Entity
Organization
Contact information
Practice address
7921 JONES BRANCH DR, SUITE 400, MC LEAN, VA 22102-3306
(703) 444-9141
Mailing address
7921 JONES BRANCH DR, SUITE 400, MC LEAN, VA 22102-3306
(703) 444-9141
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1515
VA
291U00000X
Clinical Medical Laboratory
49D2044687
VA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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