Patricio Penaherrera

NPI #1609201540 in Springfield, Virginia

Provider Information

NPI Number: 1609201540
Entity Type: Individual
Name: Patricio Penaherrera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 11, 2013
Last Updated: Dec 9, 2016

Practice Location

Address: 89440 OLD KEENE MILL ROAD
City: Springfield
State: Virginia
ZIP Code: 22301
Phone: (703) 569-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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