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Organization
STAT PROFESSIONAL SERVICES, LLC
Active
Organization
STAT PROFESSIONAL SERVICES, LLC
Active
Other names
STAT Aesthetic Center
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA ONWUNMELU RN (OWNER)
(773) 997-0037
Entity
Organization
Contact information
Practice address
14005 CROSSING PL STE 202, WOODBRIDGE, VA 22192-4686
(703) 997-0967
(703) 997-0073
Mailing address
15000 POTOMAC TOWN PL STE 100-150, WOODBRIDGE, VA 22191-6586
(703) 997-0967
(703) 997-0073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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