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Individual

ANGELA ANN RUSSELL FLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8609 SUDLEY RD STE 105, MANASSAS, VA 20110-4500
(703) 393-8883
(703) 393-8857
Mailing address
4110 FAIRFAX ST, FAIRFAX, VA 22030-5209
(212) 755-0039

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024180508
VA

Other

Enumeration date
11/13/2020
Last updated
11/13/2020
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