Jessica Sonia Panduro
Student in an Organized Health Care Education/Training Program in Centreville, VA. Individual provider (NPI-1).
NPI number1154090280
StatusActive
Last updated in NPPESSep 11, 2021
Details
- NPI
- 1154090280
- Entity type
- Individual (NPI-1)
- Name
- Jessica Sonia Panduro
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2021
- Certification date
- Sep 11, 2021
- Last updated
- Sep 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
14812 London Towne SqCentreville, VA 20120-1840
Phone 571-282-7442
Mailing address
14812 London Towne SqCentreville, VA 20120-1840
Phone 571-282-7442
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All 11 Student in an Organized Health Care Education/Training Program providers in Centreville · All 766 providers in Centreville
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