Individual
DR. EMELINA SANTOS-ILAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10560 MAIN ST, SUITE PS 10, FAIRFAX, VA 22030-7182
(703) 609-8414
(703) 503-3112
Mailing address
PO BOX 10622, SUITE 100, BURKE, VA 22009-0622
(571) 262-9241
(703) 503-3112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101048081
VA
Other
Enumeration date
11/01/2006
Last updated
05/05/2017
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