Dazo, Flaviano Delacruz

Dazo, Flaviano Delacruz is an individual health care provider with primary practice located at 9309 Centreville Road , Manassas VA 20110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dazo, Flaviano Delacruz can be contacted via phone (703) 365-0397.

Contact Information

Primary practice address
9309 Centreville Road Manassas VA 20110
Phone: (703) 365-0397
Fax: (703) 365-0399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167153 Virginia

Profile Details

NPI number 1720157829
LBN Legal business name Dazo, Flaviano Delacruz
Credentials F.N.P-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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