101YP2500X
Manassas, VA
Specialty
101YP2500X
Credential
LPC
NPI
1831106160
8644 Sudley Rd, Manassas, VA 20110
(703) 880-6683Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 101yp2500x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YP2500X