Individual
GLORIA A EKUBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1825
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1825
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001215458
VA
Other
Enumeration date
02/07/2022
Last updated
04/07/2025
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