Individual
SUSAN ARENCIBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
12011 LEE JACKSON MEMORIAL HWY STE 501, FAIRFAX, VA 22033-3315
(703) 349-1379
(703) 591-0005
Mailing address
PO BOX 221135, CHANTILLY, VA 20153-1135
(703) 349-1379
(703) 591-0005
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0001138445
VA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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