Individual
WENDY LYNN IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(703) 799-2810
(703) 799-2822
Mailing address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(703) 799-2810
(703) 799-2822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001158596
VA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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