Individual
MEDINA A OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6719 ANDERS TER, SPRINGFIELD, VA 22151-3704
(703) 945-7845
Mailing address
6719 ANDERS TER, SPRINGFIELD, VA 22151-3704
(703) 945-7845
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1401103239
VA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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