LETICIA FLORES DE BASAURI

FAIRFAX, VA
NPI1770949778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2016-01-06
Last Update Date2016-01-06
Business Address
Mrs. LETICIA FLORES DE BASAURI LMPH-S
3541 CHAIN BRIDGE RD STE 204
FAIRFAX, VA 22030-2793
Phone number: 703-926-7480
Mailing Address
Mrs. LETICIA FLORES DE BASAURI LMPH-S
3541 CHAIN BRIDGE RD STE 204
FAIRFAX, VA 22030-2793
Phone number: 703-926-7480