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Individual

REBECCA I OLATUNJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
35 TANTERRA DR, STAFFORD, VA 22556-8007
(703) 838-4455
(703) 838-5070

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001203930
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
Enumeration date
09/21/2007
Last updated
09/21/2007
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