Individual
MS. LUISA I. CARREIRO POWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5631 BURKE CENTRE PKWY, BURKE, VA 22015-2234
(703) 250-5171
(703) 250-5170
Mailing address
9610 CANDISH CT, FAIRFAX STATION, VA 22039-3235
(703) 493-8994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001138
VA
Other
Enumeration date
05/23/2007
Last updated
09/11/2013
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