Individual
MAYERLINE EULALIA FANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA RIC
Contact information
Practice address
8171 HONEY BEE WAY APT 101, MANASSAS, VA 20111-7210
(917) 566-2578
Mailing address
8171 HONEY BEE WAY APT 101, MANASSAS, VA 20111-7210
(917) 566-2578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704016834
VA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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