NPI 1609201540
Patricio Penaherrera
Practice location
- Address
- 89440 Old Keene Mill Road, Springfield, VA 22301
- Phone
- (703) 569-1300
- Fax
- (703) 569-1972
- Mailing address
- 119 E Linden St, Alexandria, VA 22301-2221
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1609201540
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Sep 2013
- Record last updated
- 9 Dec 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.