NINAS HEALTH CARE FAIRFAX INCORPORATED

FAIRFAX, VA
NPI1891340055
Entity TypeOrganization
Authorized ContactGRACE FONGOD
President
614-314-5416
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2019-08-05
Last Update Date2025-11-04
Business Address
NINAS HEALTH CARE FAIRFAX INCORPORATED
3022 JAVIER RD STE 105E
FAIRFAX, VA 22031-4646
Phone number: 614-314-5416
Mailing Address
NINAS HEALTH CARE FAIRFAX INCORPORATED
3022 JAVIER RD STE 105E
FAIRFAX, VA 22031-4646
Phone number: 614-314-5416
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