Individual
MR. LUIS ALBERTO PEDEMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
3300 GALLOWS RD, ORIGINAL BUILDING, 2ND FLOOR, FALLS CHURCH, VA 22042-3307
(703) 776-4958
Mailing address
45572 SILVER POND SQ, APT 201, POTOMAC FALLS, VA 20165-6589
(571) 214-3724
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171985
VA
Other
Enumeration date
10/17/2014
Last updated
06/03/2021
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