JESSICA FANTAZOS

WOODBRIDGE, VA
NPI1558673350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110002900)
Enumeration Date2010-07-08
Last Update Date2010-07-08
Business Address
Mrs. JESSICA FANTAZOS PA-C
14904 JEFFERSON DAVIS HWY SUITE 103
WOODBRIDGE, VA 22191-3908
Phone number: 703-497-4222
Mailing Address
Mrs. JESSICA FANTAZOS PA-C
14904 JEFFERSON DAVIS HWY SUITE 103
WOODBRIDGE, VA 22191-3908
Phone number: 703-497-4222
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