Individual
GISSELLE DULA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 OLD BRIDGE RD # 201, WOODBRIDGE, VA 22192-2738
(703) 491-2141
Mailing address
51 S FRENCH ST, ALEXANDRIA, VA 22304-4957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024194950
VA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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