Individual
RAFAEL A PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14225 NEWBROOK DRIVE, QUEST DIAGNOSTICS NICHOLS INSTITUTE, CHANTILLY, VA 20151
(703) 802-7096
(703) 802-7113
Mailing address
11776 STRATFORD HOUSE PL APT 1009, RESTON, VA 20190-3384
(703) 802-7096
(703) 802-7113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101236693
VA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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