Individual
KOSTADINKA HADZIJSKA SKANDEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6151 FULLER CT, ALEXANDRIA, VA 22310-2541
(571) 480-8480
(703) 888-3909
Mailing address
6151 FULLER CT, ALEXANDRIA, VA 22310-2541
(571) 480-8480
(703) 888-3909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301045
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326279084
—
VA
Enumeration date
07/29/2009
Last updated
01/25/2017
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