Provider Demographics
NPI:1174627129
Name:FRAYNA, CHRISTINA FUENTES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:FUENTES
Last Name:FRAYNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6231 LEESBURG PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2102
Mailing Address - Country:US
Mailing Address - Phone:703-237-6811
Mailing Address - Fax:703-752-4747
Practice Address - Street 1:6231 LEESBURG PIKE STE 203
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2102
Practice Address - Country:US
Practice Address - Phone:703-237-6811
Practice Address - Fax:703-752-4747
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101053435208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics