Individual
FERMIN CABEZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 640, FAIRFAX, VA 22031-5207
(703) 208-0820
(703) 208-0841
Mailing address
8316 ARLINGTON BLVD, SUITE 640, FAIRFAX, VA 22031-5207
(703) 208-0820
(703) 208-0841
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110001868
VA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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