CARLOS FAGBENRO

MANASSAS, VA
NPI1447528328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024169586)
Enumeration Date2011-12-07
Last Update Date2017-01-27
Business Address
Mr. CARLOS FAGBENRO NP
6360 HOADLY RD
MANASSAS, VA 20112-3422
Phone number: 571-594-9110
Mailing Address
Mr. CARLOS FAGBENRO NP
15337 LORD CULPEPER CT
WOODBRIDGE, VA 22191-4937
Phone number: 571-594-9110
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