Individual
MRS. ERNESTINA LISA MARIE GIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
9225 DOERR RD # 1220, FORT BELVOIR, VA 22060-2204
(571) 231-6004
Mailing address
9225 DOERR RD # 1220, FORT BELVOIR, VA 22060-2204
(571) 231-6004
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002024614
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
12/27/2021
Last updated
06/06/2022
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