Legacy Dialysis of Reston Clinic

NPI #1316643067 in Reston, Virginia

Provider Information

NPI Number
1316643067
Entity Type
Organization
Organization Name
Legacy Dialysis of Reston Clinic
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 3, 2023
Last Updated
Apr 21, 2025

Practice Location

Address
1800 ALEXANDER BELL DR STE 160
City
Reston
ZIP Code
20191-5488
Phone
(954) 781-7741

Authorized Official

Name
MARCIA ANJOS SANTOS
Title
COO
Phone
(954) 781-7741

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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