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Organization
RADIANT REJUVENATION WELLNESS
Active
Organization
RADIANT REJUVENATION WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KAMARA (OWNER)
(571) 241-2915
Entity
Organization
Contact information
Practice address
4914 MCFARLAND DR, FAIRFAX, VA 22032-2518
(571) 241-2915
Mailing address
4914 MCFARLAND DR, FAIRFAX, VA 22032-2518
(571) 241-2915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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