Individual
PHILBERT JOHN MASELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10560 MAIN ST STE 600, FAIRFAX, VA 22030-7114
(571) 419-8612
(703) 866-8302
Mailing address
10560 MAIN ST STE 211, FAIRFAX, VA 22030-7176
(571) 419-8612
(703) 866-8302
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
05/28/2024
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