Individual
PATRICIA REY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 LAKE BRADDOCK DR, BURKE, VA 22015-2125
(202) 714-7735
Mailing address
8900 LAKE BRADDOCK DR, BURKE, VA 22015-2125
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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