Provider Demographics
NPI:1699460063
Name:MARIANO, JOHNAFAYE APOSTOL (DO)
Entity type:Individual
Prefix:
First Name:JOHNAFAYE
Middle Name:APOSTOL
Last Name:MARIANO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 CAROL LN STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-6104
Mailing Address - Country:US
Mailing Address - Phone:540-418-6681
Mailing Address - Fax:
Practice Address - Street 1:12101 CAROL LN STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6104
Practice Address - Country:US
Practice Address - Phone:540-418-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program