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Individual

DANIEL DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
6355 WALKER LN STE 303, ALEXANDRIA, VA 22310-3247
(703) 971-0505
Mailing address
6355 WALKER LN STE 303, ALEXANDRIA, VA 22310-3247
(703) 971-0505

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184882
VA
363LF0000X
Family Nurse Practitioner
NP1056473
DC

Other

Enumeration date
07/07/2022
Last updated
10/24/2024
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