Individual
SANDRA EMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10379B DEMOCRACY LN, FAIRFAX, VA 22030-2505
(571) 298-9122
Mailing address
8607 ELLESMERE WAY, BRISTOW, VA 20136-2076
(571) 298-9122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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