Individual
KARINA MANICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9000
Mailing address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 689-9000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001253112
VA
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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