Individual
MARY C O'LAUGHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, FNP-BC
Contact information
Practice address
9900 SOWDER VILLAGE SQ, MANASSAS, VA 20109-5464
(703) 257-6969
Mailing address
9900 SOWDER VILLAGE SQ, MANASSAS, VA 20109-5464
(703) 257-6969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164936
VA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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