Individual
GRISELDA MANI MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14009 MINNIEVILLE RD, WOODBRIDGE, VA 22193-2310
(703) 580-6400
(703) 580-6402
Mailing address
2200 OPITZ BLVD STE 355, WOODBRIDGE, VA 22191-3340
(703) 580-6400
(703) 580-4550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101246974
VA
208000000X
Pediatrics Physician
Primary
N5869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407150113
—
VA
Enumeration date
01/10/2011
Last updated
11/04/2025
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