Individual
JEVONTE ALVANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 27TH CT S # 105, ARLINGTON, VA 22206-2865
(703) 712-2891
Mailing address
2430 27TH CT S APT 105, ARLINGTON, VA 22206-2866
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R207294
MD
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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