Individual
JANNAH FAIZA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
8101 HINSON FARM RD STE 301, ALEXANDRIA, VA 22306-3405
(703) 560-3773
(703) 799-0050
Mailing address
15349 WEST AVE, APT 3NW, ORLAND PARK, IL 60462-5328
(260) 580-3677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301270
VA
Other
Enumeration date
05/09/2016
Last updated
02/11/2022
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