Most Relevant Information
Provider Data
| NPI Number: | 1003246562 |
| Provider Name: | RACHEL L KOENIG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2013 |
| Last Updated: | 12/04/2013 |
Provider Practice Location
11240 WAPLES MILL RD
SUITE 101
FAIRFAX
VA
220306078
Practice Location Phone/Fax
| Phone: | 7032372219 |
| Fax: |
Provider Mailing Location
3253 CANNONGATE RD
FAIRFAX
VA
220314828
Provider Mailing Phone/Fax
| Phone: | 7177139852 |
| Fax: |