Individual
STEPHEN KENT OVERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5316 SATTERFIELD DR, WOODBRIDGE, VA 22193-3408
(703) 217-2134
Mailing address
5316 SATTERFIELD DR, WOODBRIDGE, VA 22193-3408
(703) 217-2134
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004160
VA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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