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Individual

LOLITA BIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9801 GEORGIA AVE STE 229, SILVER SPRING, MD 20902-5276
(301) 754-2200
Mailing address
45730 WELLESLEY TER APT 133, STERLING, VA 20166-6634
(703) 298-0066
(703) 935-0722

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0119002677
VA

Other

Enumeration date
11/05/2009
Last updated
12/10/2009
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