Individual
DEREK VUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 POWHATAN ST, FALLS CHURCH, VA 22043-1940
(703) 538-2400
Mailing address
2100 POWHATAN ST, FALLS CHURCH, VA 22043-1940
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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