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PATRICIO PENAHERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
89440 OLD KEENE MILL ROAD, SPRINGFIELD, VA 22301
(703) 569-1300
(703) 569-1972
Mailing address
119 E LINDEN ST, ALEXANDRIA, VA 22301-2221
(516) 330-8723

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/11/2013
Last updated
12/09/2016
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