NPI 1619587953
Jenetta Felicia Dixon, ASCPCERTIFICATION
Practice location
- Address
- 107 Bonair St, Fredericksburg, VA 22405-2797
- Phone
- (540) 455-0775
Registered specialties
Phlebology Physician
Primary
Registry record
- NPI
- 1619587953
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Aug 2020
- Record last updated
- 2 Aug 2020
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.