Individual
ADAKU LILIAN IZUNWANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-3322
(703) 330-5051
Mailing address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-3322
(703) 330-5051
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024171147
VA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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