Oritsematosan Ayu

NPI #1174970347 in Springfield, Virginia

Provider Information

NPI Number: 1174970347
Entity Type: Individual
Name: Oritsematosan Ayu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 6501 LOISDALE CT
City: Springfield
State: Virginia
ZIP Code: 22150-1826
Phone: (703) 922-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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