DR. Wien Manguerra-Casiano, D.O.

NPI #1154855021 in Fairfax, Virginia

Provider Information

NPI Number: 1154855021
Entity Type: Individual
Name: DR. Wien Manguerra-Casiano, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 17, 2017
Last Updated: Sep 23, 2020

Practice Location

Address: 11213 LEE HWY STE H
City: Fairfax
State: Virginia
ZIP Code: 22030-5698
Phone: (703) 372-4429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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