Juan Illesca

NPI #1447606991 in Sterling, Virginia

Provider Information

NPI Number
1447606991
Entity Type
Individual
Name
Juan Illesca
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
May 13, 2016
Last Updated
May 13, 2016

Practice Location

Address
22054 SHAW RD
Address 2
STE H
ZIP Code
20164-9321
Phone
(571) 268-9858

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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