Individual
ABDUL MALIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Contact information
Practice address
8010 GEORGE FOX PL, LORTON, VA 22079-2347
(703) 819-4313
Mailing address
8010 GEORGE FOX PL, LORTON, VA 22079-2347
(703) 819-4313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180291
VA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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