Individual
RACHEL NAOMI MELENDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
125 MILL ST STE 12, OCCOQUAN, VA 22125-7732
(703) 310-6644
Mailing address
PO BOX 322, OCCOQUAN, VA 22125-0322
(703) 310-6644
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
192508
VA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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