Individual provider · NPI-1

Tracey L Coussens

Technician/Technologist, Ophthalmic Assistant · Falls Church, VA

NPI number1699167395

StatusActive

Last updated in NPPESMar 4, 2015

Details

NPI: 1699167395
Entity type: Individual (NPI-1)
Name: Tracey L Coussens
Sex: Female
Sole proprietor: No
Enumeration date: Mar 4, 2015
Last updated: Mar 4, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
156FX1101X	Technician/Technologist, Ophthalmic Assistant	–	–	Yes

Practice location

6231 Leesburg Pike
Suite 608
Falls Church, VA 22044-2102

Phone 703-534-3900 · Fax 703-536-3729

Mailing address

6231 Leesburg Pike
Suite 608
Falls Church, VA 22044-2102

Phone 703-534-3900 · Fax 703-536-3729

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