Individual
ALEXANDER LUIS TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Mailing address
710A W GLEBE RD, ALEXANDRIA, VA 22305-1446
(321) 370-5350
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0116035882
VA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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