Individual
MS. KATHLEEN ANNE MALLIARAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3925 N ABINGDON ST, ARLINGTON, VA 22207-2919
(703) 237-7303
(703) 237-7304
Mailing address
3925 N ABINGDON ST, ARLINGTON, VA 22207-2919
(703) 237-7303
(703) 237-7304
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024138992
VA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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