Individual
MA. ROSE JEMINEZ DECENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 COPPERMINE RD # 124-A, HERNDON, VA 20171-6163
(571) 508-7144
Mailing address
13800 COPPERMINE RD # 124-A, HERNDON, VA 20171-6163
(571) 508-7144
(703) 935-0898
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0000000
VA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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