Individual provider · Type 1 NPI
Patricio Penaherrera
Student in an Organized Health Care Education/Training Program · Springfield, VA
Practice location
89440 Old Keene Mill Road
Springfield, VA 22301
Fax (703) 569-1972
Mailing address
119 E Linden St
Alexandria, VA 22301-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1609201540
Patricio Penaherrera's National Provider Identifier is 1609201540, issued on Sep 11, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, VA. The record was last updated on Dec 9, 2016.