Juan Illesca
Juan Illesca is a Non-emergency Medical Transport (VAN) in Sterling, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2016
Practice location Address checks out
22054 Shaw Rd Ste HSterling, VA 20164-9321
Phone: (571) 268-9858
Fax: (571) 313-1147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 277 (VA) |
|---|
Record details
| NPI number | 1447606991 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2016 |
| Last updated in NPPES | May 13, 2016 |
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