Individual
MS. SVETLANA OUCHAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 TORREY PINES CT, RESTON, VA 20190-4829
(703) 862-6314
(703) 774-3143
Mailing address
1731 TORREY PINES CT, RESTON, VA 20190-4829
(703) 862-6314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0721961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104193617
—
VA
Enumeration date
04/06/2007
Last updated
07/09/2007
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