| Minuteclinic Diagnostic Of Virginia Llc | |
|
3921 Prosperity Ave Fairfax VA 22031-3329 | |
| (855) 417-2486 | |
| Not Available |
| Full Name | Minuteclinic Diagnostic Of Virginia Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3921 Prosperity Ave, Fairfax, Virginia |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Of Virginia Llc Po Box 772 Mc2295 Woonsocket RI 02895-0784 Ph: () - | Minuteclinic Diagnostic Of Virginia Llc 3921 Prosperity Ave Fairfax VA 22031-3329 Ph: (855) 417-2486 |
| NPI Number | 1285388637 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285388637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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