Individual
DEGACHE LANDU FUKIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10100 FAIRFAX BLVD, FAIRFAX, VA 22030-2000
(703) 679-1876
Mailing address
901 S 72ND AVE APT 223, YAKIMA, WA 98908-1861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009709
VA
363A00000X
Physician Assistant
C0009928
MD
Other
Enumeration date
02/13/2022
Last updated
07/21/2025
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