Provider Demographics
NPI:1174330815
Name:FORNINO ARIAS, ABI CAROLINA
Entity type:Individual
Prefix:
First Name:ABI
Middle Name:CAROLINA
Last Name:FORNINO ARIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12605 GLENBROOKE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2122
Mailing Address - Country:US
Mailing Address - Phone:813-577-2063
Mailing Address - Fax:
Practice Address - Street 1:12605 GLENBROOKE WOODS DR
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2122
Practice Address - Country:US
Practice Address - Phone:813-577-2063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter