Search › Virginia › 101YM0800X
Ingrid Basurto
NPI 1306665310 · on the registry since 2024
Practice
- Address
- 3919 Blenheim Blvd Ste 83b
Fairfax, VA 22030 - Phone
- (571) 559-2181
- Fax
- (571) 621-5708
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia