Individual
MS. EVANGELINE CHINWE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 S BRAGG ST # 401, ALEXANDRIA, VA 22312-2797
(703) 814-5106
Mailing address
1508 E CAPITOL ST NE, WASHINGTON, DC 20003-1507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008922
DC
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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