TITO AUGUSTO FERNANDEZ

FAIRFAX, VA
NPI1932471257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO  96131)
Enumeration Date2012-02-01
Last Update Date2018-09-05
Business Address
Mr. TITO AUGUSTO FERNANDEZ
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA 22033
Phone number: 703-349-1379
Mailing Address
Mr. TITO AUGUSTO FERNANDEZ
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-349-1379
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