Individual
THEODORA CLAUDETTE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1954 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 492-2924
Mailing address
4401 DECATUR DR, WOODBRIDGE, VA 22193-1886
(703) 338-9036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177089
VA
Other
Enumeration date
04/11/2019
Last updated
09/15/2020
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