Individual
MISS ISABELLA THERESA CARUNUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 HUNTER PL, WOODBRIDGE, VA 22192-3945
(571) 659-0859
Mailing address
6529 MEADOWFIELD CT, ELKRIDGE, MD 21075-6879
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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