Patricio Penaherrera
Student in an Organized Health Care Education/Training Program in Springfield, VA. Individual provider (NPI-1).
NPI number1609201540
StatusActive
Last updated in NPPESDec 9, 2016
Details
- NPI
- 1609201540
- Entity type
- Individual (NPI-1)
- Name
- Patricio Penaherrera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2013
- Last updated
- Dec 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
89440 Old Keene Mill RoadSpringfield, VA 22301
Phone 703-569-1300 · Fax 703-569-1972
Mailing address
119 E Linden StAlexandria, VA 22301-2221
Phone 516-330-8723
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