Individual provider · Type 1 NPI

Gretta Herbert, OFFICE ADMINISTRATOR

Specialist · Fairfax, VA

NPI number 1780078030 Active

Practice location

3620 Joseph Siewick Dr, Suite 307
Fairfax, VA 22033-1756

Call (703) 281-1023 Map

Fax (703) 620-2331

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X541148368 (VA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780078030

Gretta Herbert, OFFICE ADMINISTRATOR's National Provider Identifier is 1780078030, issued on Mar 25, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 25, 2015.