Individual
MR. IDDRISA FYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16719 CHOWNING CT, WOODBRIDGE, VA 22191-4606
(170) 378-6894
Mailing address
16719 CHOWNING CT, WOODBRIDGE, VA 22191-4606
(703) 786-8941
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10961131-2023
VA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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