Individual
MARCELINE NDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14208 MADRIGAL DR, WOODBRIDGE, VA 22193-5953
(641) 954-2702
Mailing address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(641) 954-2702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200002627
DC
164W00000X
Licensed Practical Nurse
Primary
LPN200002627
DC
Other
Enumeration date
07/31/2023
Last updated
08/31/2023
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