NPI 1043682560
Mayra Rivas
Practice location
- Address
- 11240 Waples Mill Rd, Fairfax, VA 22030-6078
- Phone
- (703) 237-2219
- Mailing address
- 3330 Woodburn Village Dr APT T2, Annandale, VA 22003-6869
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1043682560
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Oct 2015
- Record last updated
- 23 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.