Individual
JENETTA FELICIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASCP CERTIFICATION
Contact information
Practice address
107 BONAIR ST, FREDERICKSBURG, VA 22405-2797
(540) 455-0775
Mailing address
107 BONAIR ST, FREDERICKSBURG, VA 22405-2797
(540) 455-0775
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
46298
VA
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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