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GRETTA HERBERT OFFICE ADMINISTRATOR

>> Specialist >> Other Service Providers

Registrant NPI Number: 1780078030

Individual Registrant:
 GRETTA  HERBERT OFFICE ADMINISTRATOR
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

Contact information for business:
3620 JOSEPH SIEWICK DR SUITE 307 FAIRFAX, VA 22033-1756 US
Tel: 703-281-1023  Fax: 703-620-2331

Registration Information:
NPI: 1780078030
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
VA541148368

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
10634438021063443802VA01




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