Individual
REBECCA DELE ENITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SAINT ADAMS DR, STAFFORD, VA 22556-3661
(202) 425-2501
Mailing address
40 SAINT ADAMS DR, STAFFORD, VA 22556-3661
(202) 425-2501
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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