| Djfg Llc | |
|
11358 Bacon Race Rd, Lake Ridge, VA 22192-5704 | |
| (973) 902-6852 | |
| Not Available |
| Full Name | Djfg Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 11358 Bacon Race Rd, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023872132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Djfg Llc 11358 Bacon Race Rd, Lake Ridge, VA 22192-5704 Ph: (973) 902-6852 | Djfg Llc 11358 Bacon Race Rd, Lake Ridge, VA 22192-5704 Ph: (973) 902-6852 |
Beverly Conrad, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12253 Seaford Ct, Lake Ridge, VA 22192 Phone: 425-205-0220 | |
Michelle Rainville, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400 |