Individual
MILVA MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1451 BELLE HAVEN RD, STE 110, ALEXANDRIA, VA 22307-1201
(703) 765-6093
(703) 765-7761
Mailing address
1451 BELLE HAVEN RD, STE 110, ALEXANDRIA, VA 22307-1201
(703) 765-6093
(703) 765-7761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0024141731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7788959
—
VA
Enumeration date
08/14/2008
Last updated
08/14/2008
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