Individual
MS. ILEANA SANCHEZ VANQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
481 CARLISLE DR # A, HERNDON, VA 20170-4882
(703) 481-3451
(703) 481-1050
Mailing address
481 CARLISLE DR # A, HERNDON, VA 20170-4882
(703) 481-3451
(703) 481-1050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119004380
VA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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