Individual
AIDEN O PESQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 FAIRFAX DR STE 120, ARLINGTON, VA 22203-1613
(703) 292-4060
Mailing address
21811 COBB RUN TER UNIT 401, ASHBURN, VA 20147-7827
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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