Individual
GINA AGYEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3108 PS BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(703) 670-3925
(703) 670-3924
Mailing address
3108 PS BUSINESS CENTER DRIVE, WOODBRIDGE, VA 22192
(703) 670-3925
(703) 670-3924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002068259
VA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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