Individual
MRS. ANASTASIA ELIZABETH GREBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3028 JAVIER RD STE 300, FAIRFAX, VA 22031-4622
(703) 698-8960
Mailing address
3028 JAVIER RD STE 300, FAIRFAX, VA 22031-4622
(703) 698-8960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006276
VA
Other
Enumeration date
07/31/2018
Last updated
03/08/2021
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