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Individual

ANGEL KARISMA JOEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED NURSE AID

Contact information

Practice address
28 COURAGE LN, STAFFORD, VA 22554-4844
(703) 364-8644
Mailing address
4 COURAGE LN, STAFFORD, VA 22554-4843
(703) 364-8644

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1401137134
VA

Other

Enumeration date
07/01/2016
Last updated
07/01/2016
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