Individual
JAIRO MEJIA VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDA
Contact information
Practice address
5109 LEESBURG PIKE, SUITE 504, FALLS CHURCH, VA 22041-3215
(703) 882-3999
Mailing address
5109 LEESBURG PIKE, SUITE 504, FALLS CHURCH, VA 22041-3215
(703) 882-3999
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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