person
Mrs. Jessica Fantazos, PA-C
Medical Physician Assistant in Woodbridge, Virginia
NPI 1558673350

Jessica Fantazos is a Medical Physician Assistant based in Woodbridge, VA and is specialized in Medical. Jessica Fantazos practices in Woodbridge, VA and has the professional credentials of PA-C. The NPI Number for Jessica Fantazos is 1558673350 and holds a License No. 0110002900 (Virginia).

The current practice location address for Jessica Fantazos is 14904 Jefferson Davis Hwy, Woodbridge, VA and can be reached out via phone at 703-497-4222 and via fax at 703-492-0164. You can also correspond with Jessica Fantazos through the mailing address at 14904 JEFFERSON DAVIS HWY, WOODBRIDGE, VA - 22191-3908 (mailing address contact number: 703-497-4222).

Location: 14904 Jefferson Davis Hwy, Woodbridge, VA, 22191-3908
person
Provider Profile Details
NPI Number
1558673350
Provider Name
Jessica Fantazos
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
14904 Jefferson Davis Hwy, Woodbridge, VA, 22191-3908
Phone Number
703-497-4222
Fax Number
703-492-0164
Provider Enumeration Date
07/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14904 Jefferson Davis Hwy
City
State
Zip
22191-3908
Phone Number
703-497-4222
Fax Number
703-492-0164
person
Provider Business Mailing Address Details
Address
14904 Jefferson Davis Hwy
City
State
Zip
22191-3908
Phone Number
703-497-4222
Fax Number
703-492-0164
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002900 (Virginia)
Definition
Definition to come...
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