Individual
EVERLOVE OKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 LANGSTON BLVD APT 406, ARLINGTON, VA 22207-1458
(571) 341-0035
Mailing address
5600 LANGSTON BLVD APT 406, ARLINGTON, VA 22207-1458
(571) 341-0035
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002077426
VA
164W00000X
Licensed Practical Nurse
Primary
1008119
DC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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