Individual
DHAKA GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5372 FALLOWATER LN STE 200, ROANOKE, VA 24018-0909
(216) 672-3100
(216) 362-0677
Mailing address
12380 PLAZA DR, PARMA, OH 44130-1043
(216) 672-3100
(216) 362-0677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179063
VA
Other
Enumeration date
11/11/2020
Last updated
03/01/2021
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