Organization
DESTINY CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE AKHOASEGBE EHICHIOYA NP (DIRECTOR)
(703) 973-0176
Entity
Organization
Contact information
Practice address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(703) 973-0176
Mailing address
1684 ROSEDALE CT, WOODBRIDGE, VA 22191-3014
(703) 973-0176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
12/27/2024
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