Individual
VONDA MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12670 LANDVIEW DR, MANASSAS, VA 20112-4633
(703) 509-2664
Mailing address
12670 LANDVIEW DR, MANASSAS, VA 20112-4633
(703) 509-2664
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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