Organization
MIA LUNA SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCYLN GALEANO (DIRECTOR)
(703) 459-0040
Entity
Organization
Contact information
Practice address
205 VAN BUREN ST STE 120, HERNDON, VA 20170-5336
(703) 459-0040
Mailing address
205 VAN BUREN ST STE 120, HERNDON, VA 20170-5336
(703) 459-0040
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
05/21/2024
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