Organization
NOVA DIALYSIS WOODBINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINESSIA Z PEARSON CFO (CFO)
(301) 577-1007
Entity
Organization
Contact information
Practice address
2729 KING ST, ALEXANDRIA, VA 22302-4008
(301) 577-1007
(301) 577-1006
Mailing address
9320 ANNAPOLIS RD STE 200, LANHAM, MD 20706-3121
(301) 577-1007
(301) 577-1006
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
07/08/2024
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