Individual
MIKE BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 771-0170
Mailing address
PO BOX 7400, LEESBURG, VA 20177-7400
(703) 771-5100
(703) 771-0170
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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