Individual
ALEXANDRA NICOLE MINUTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 PROSPERITY AVE STE 200, FAIRFAX, VA 22031-4358
(703) 280-2841
Mailing address
2710 PROSPERITY AVE STE 200, FAIRFAX, VA 22031-4358
(703) 280-2841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
10/03/2024
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