Individual
MR. JOHN OWEN LAGARDE UYCHOCDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2628 S FERN ST, ARLINGTON, VA 22202-2512
(703) 501-0840
Mailing address
2628 S FERN ST, ARLINGTON, VA 22202-2512
(703) 501-0840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001237215
VA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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