Most Relevant Information
Provider Data
| NPI Number: | 1003203258 |
| Provider Name: | PATRICIA DIEFENBACH ND, CNS, CPT |
| Entity Type: | Individual |
| Taxonomy Code: | 175F00000X |
| Specialty: | Naturopath |
| License Number: | 0053 |
Most Important Dates
| Enumeration Date: | 04/24/2015 |
| Last Updated: | 03/03/2020 |
Provider Practice Location
6907 BRIMSTONE LN
FAIRFAX STATION
VA
220391819
Practice Location Phone/Fax
| Phone: | 7036098717 |
| Fax: |
Provider Mailing Location
1900 MOUNT VERNON AVE STE 206
ALEXANDRIA
VA
223011302
Provider Mailing Phone/Fax
| Phone: | 7036098717 |
| Fax: | 7032391565 |