Organization
RACKENFUSE HEALTH, LLC
Active
Other names
Michelle L. Fuselier, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LANIECE FUSELIER M.D. (OWNER)
(703) 533-5555
Entity
Organization
Contact information
Practice address
6305 CASTLE PL, SUITE 1D, FALLS CHURCH, VA 22044-1905
(703) 533-5555
(703) 533-5596
Mailing address
6305 CASTLE PL, SUITE 1D, FALLS CHURCH, VA 22044-1905
(703) 533-5555
(703) 533-5596
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101240825
VA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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