| Pepito Jimenez Decena Jr, LPN | |
|
13800 Coppermine Rd # 124-a, Herndon, VA 20171-6163 | |
| (571) 508-7144 | |
| (703) 935-0898 |
| Full Name | Pepito Jimenez Decena Jr |
|---|---|
| Gender | Male |
| Speciality | Clinical Nurse Specialist - Home Health |
| Location | 13800 Coppermine Rd # 124-a, Herndon, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639787377 | NPI | - | NPPES |
| 0000 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SH0200X | Clinical Nurse Specialist - Home Health | 0002093395 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pepito Jimenez Decena Jr, LPN 910 W Redwood Rd, Sterling, VA 20164-5117 Ph: (571) 508-7144 | Pepito Jimenez Decena Jr, LPN 13800 Coppermine Rd # 124-a, Herndon, VA 20171-6163 Ph: (571) 508-7144 |
Mrs. Margaret Joan Best, CLINICAL NURSE SPECI Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 435 A Carlisle Drive, Herndon, VA 20170 Phone: 703-715-6021 Fax: 703-620-0605 |
Ms. Maureen Harris Mccracken, APRN, BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 489a Carlisle Drive, Ste B, Herndon, VA 20171 Phone: 703-793-6033 |