DEGACHE LANDU FUKIAU

FAIRFAX, VA
NPI1629723200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110009709)
Enumeration Date2022-02-13
Last Update Date2024-11-07
Business Address
DEGACHE LANDU FUKIAU
10100 FAIRFAX BLVD
FAIRFAX, VA 22030-2000
Phone number: 703-679-1876
Mailing Address
DEGACHE LANDU FUKIAU
901 S 72ND AVE APT 223
YAKIMA, WA 98908-1861
Phone number:
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