Legacy Dialysis of Fairfax LLC

NPI #1427534072 in Fairfax, Virginia

Provider Information

NPI Number
1427534072
Entity Type
Organization
Organization Name
Legacy Dialysis of Fairfax LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 17, 2018
Last Updated
Feb 26, 2025

Practice Location

Address
10565 FAIRFAX BLVD STE 205
ZIP Code
22030-3104
Phone
(571) 340-3221

Authorized Official

Name
MS. MYRLENE BARRERA
Title
DIRECTOR
Phone
(305) 778-8277

Specialties & Taxonomy Codes

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

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