Garden Hernandez, Miguel Rodolfo

Garden Hernandez, Miguel Rodolfo is an sole proprietor health care provider with primary practice located at 12011 Lee Jackson Hwy Ste 501 , Fairfax VA 22033-3315. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Garden Hernandez, Miguel Rodolfo can be contacted via phone (703) 349-1379.

Contact Information

Primary practice address
12011 Lee Jackson Hwy Ste 501 Fairfax VA 22033-3315
Phone: (703) 349-1379
Fax: (703) 591-0005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 16-516 Maryland

Profile Details

NPI number 1902365646
LBN Legal business name Garden Hernandez, Miguel Rodolfo
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2019
Last updated Mar 12th, 2019 - about 5 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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