Individual
MARIA E JUANPERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S., F.A.A.P.
Contact information
Practice address
493 BLACKWELL RD, SUITE 101, WARRENTON, VA 20186-2639
(540) 347-9900
(540) 349-0920
Mailing address
44355 PREMIER PLZ STE 220, ASHBURN, VA 20147-5050
(202) 306-2821
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054750
VA
208D00000X
General Practice Physician
0101054750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010027420
—
VA
Enumeration date
02/22/2006
Last updated
10/08/2024
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