Individual
VIRGINIA ANIKWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3300 N RIDGE RD, SUITE 175, ELLICOTT CITY, MD 21043-3383
(410) 750-3474
Mailing address
3957 BALLET WAY, BURTONSVILLE, MD 20866-1398
(301) 421-9511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP35856
MD
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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