Individual
LAURA W. HALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COUNTY COMPLEX CT STE 240, WOODBRIDGE, VA 22192-9205
(703) 792-7425
Mailing address
5 COUNTY COMPLEX CT STE 240, WOODBRIDGE, VA 22192-9205
(703) 792-7425
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V000016
VA BILLING OF ADMINISTRATIVE FEES FOR PERSONAL IN HOME PPL DIRECT CARE
VA
01
—
V00013
VA BILLING OF ADMINISTRATIVE FEES FOR PERSONAL IN HOME PPL DIRECT CARE
VA
Enumeration date
11/03/2022
Last updated
11/03/2022
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