Individual
DALE R. GADUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3900 JERMANTOWN RD, FAIRFAX, VA 22030-4900
(703) 934-8715
Mailing address
1552 TWISTED OAK DR, RESTON, VA 20194-1539
(703) 787-0630
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001130768
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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