NPI 1174970347

Oritsematosan Ayu

Practitioner Other Technician Springfield, VA

Practice location

Address: 6501 Loisdale CT, Springfield, VA 22150-1826
Phone: (703) 922-1530

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 0230027933 (VA)

Other Technician, Other providers in Virginia →

Registry record

NPI: 1174970347
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2016
Record last updated: 18 May 2016

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.