Search › Virginia › 246ZC0007X
Jackson Moscoso, SURGICAL ASSISTANT
NPI 1720625080 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3127 Plantation Pkwy
Fairfax, VA 22030 - Phone
- (571) 594-8144
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-31
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