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Search › Virginia › 363AM0700X

Jessica Fantazos, PA-C

NPI 1558673350 · on the registry since 2010

Practice

Address
14904 Jefferson Davis Hwy
Suite 103
Woodbridge, VA 22191
Phone
(703) 497-4222
Fax
(703) 492-0164
Organisation at this address
Medi Health Llc
Pharmacy One Llc
Vijay Grover Md Pc
S. Carrington, Inc
Woodbridge Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-08

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