Individual
LEONARDO TATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA-C
Contact information
Practice address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234
(571) 533-4487
Mailing address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234
(571) 533-4487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2005
Last updated
06/04/2025
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