RENASCANCE DERMATOLOGY PC

FAIRFAX, VA
NPI1457796641
Entity TypeOrganization
Authorized ContactDWANA RASHAD SHABAZZ
Owner
703-865-6783
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: VA  0101240235)
Enumeration Date2013-05-01
Last Update Date2013-05-01
Business Address
RENASCANCE DERMATOLOGY PC
3620 JOSEPH SIEWICK DR SUITE 303
FAIRFAX, VA 22033-1756
Phone number: 703-865-6783
Mailing Address
RENASCANCE DERMATOLOGY PC
3620 JOSEPH SIEWICK DR SUITE 303
FAIRFAX, VA 22033-1756
Phone number: 703-865-6783
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