Individual
DECHANTA NICOLE ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4713 S PARK CT, WOODBRIDGE, VA 22193-3077
(866) 931-1545
(703) 563-0572
Mailing address
4713 S PARK CT, WOODBRIDGE, VA 22193-3077
(866) 931-1545
(703) 563-0572
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
10L19808
VA
372600000X
Adult Companion
10L19808
VA
374U00000X
Home Health Aide
Primary
10L19808
VA
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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