JOSE GUSTAVO ESPINO

ALEXANDRIA, VA
NPI1417301607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: DC  SA0191)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2016-04-14
Last Update Date2017-04-14
Business Address
-- JOSE GUSTAVO ESPINO
6866 DEER RUN DR
ALEXANDRIA, VA 22306-1124
Phone number: 703-307-8999
Mailing Address
-- JOSE GUSTAVO ESPINO
6866 DEER RUN DR
ALEXANDRIA, VA 22306-1124
Phone number: 703-307-8999