Individual
PHENORIES MASSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
4850 MARK CENTER DR FL 9, ALEXANDRIA, VA 22311-1882
(703) 746-3444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001146528
VA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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