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GRETTA HERBERT OFFICE ADMINISTRATOR
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1780078030
Individual Registrant: GRETTA HERBERT OFFICE ADMINISTRATOR
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3620 JOSEPH SIEWICK DR SUITE 307 FAIRFAX, VA 22033-1756 US
Tel: 703-281-1023 Fax: 703-620-2331
Tel: 703-281-1023 Fax: 703-620-2331
Contact information for business:
3620 JOSEPH SIEWICK DR SUITE 307 FAIRFAX, VA 22033-1756 US
Tel: 703-281-1023 Fax: 703-620-2331
Tel: 703-281-1023 Fax: 703-620-2331
Registration Information:
NPI: 1780078030
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | VA | 541148368 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1063443802 | 1063443802 | VA | 01 |
