Individual provider · Type 1 NPI
Pepito Jimenez Decena Jr., LPN
Home Health Clinical Nurse Specialist · Herndon, VA
NPI number
1639787377
Active
Practice location
13800 Coppermine Rd # 124-A
Herndon, VA 20171-6163
Fax (703) 935-0898
Mailing address
910 W Redwood Rd
Sterling, VA 20164-5117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Clinical Nurse Specialist Primary | 364SH0200X | 0002093395 (VA) |
Home Health Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1639787377
Pepito Jimenez Decena Jr., LPN's National Provider Identifier is 1639787377, issued on Jul 20, 2020. The primary taxonomy on file is Home Health Clinical Nurse Specialist (364SH0200X), and the practice location is in Herndon, VA. The record was last updated on Jul 20, 2020.