Individual
MRS. ALEXANDRA SASHA RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.,
Contact information
Practice address
1225 MARTHA CUSTIS DR, SUITE C-7, ALEXANDRIA, VA 22302-2000
(703) 998-6760
(703) 998-2389
Mailing address
1225 MARTHA CUSTIS DRIVE, SUITE C-7, ALEXANDRIA, VA 22304
(703) 998-6760
(703) 998-2389
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0102037169
VA
207Q00000X
Family Medicine Physician
0102037169
VA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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