person
Pepito Jimenez Decena JR., LPN
Home Health Clinical Nurse Specialist in Herndon, Virginia
NPI 1639787377

Pepito Jimenez Decena JR. is a Home Health Clinical Nurse Specialist based in Sterling, VA and is specialized in Home Health. Pepito Jimenez Decena JR. practices in Herndon, VA and has the professional credentials of LPN. The NPI Number for Pepito Jimenez Decena JR. is 1639787377 and holds a License No. 0002093395 (Virginia).

The current practice location address for Pepito Jimenez Decena JR. is 13800 Coppermine Rd # 124-A, Herndon, VA and can be reached out via phone at 571-508-7144 and via fax at 703-935-0898.

Location: 13800 Coppermine Rd # 124-A, Herndon, VA, 20164-5117
person
Provider Profile Details
NPI Number
1639787377
Provider Name
Pepito Jimenez Decena JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
13800 Coppermine Rd # 124-A, Herndon, VA, 20164-5117
Phone Number
571-508-7144
Fax Number
703-935-0898
Provider Enumeration Date
07/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000 05 VA
institution
Provider Business Practice Location Address Details
Address
13800 Coppermine Rd # 124-A
City
State
Zip
20171-6163
Phone Number
571-508-7144
Fax Number
703-935-0898
person
Provider Business Mailing Address Details
Address
13800 Coppermine Rd # 124-A
City
State
Zip
20171-6163
Phone Number
571-508-7144
Fax Number
703-935-0898
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Home Health
Taxonomy
License No.
0002093395 (Virginia)
Definition
Definition to come...
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