Individual
ODONTUYA N/A DOVDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7500
Mailing address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(703) 441-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185037
VA
Other
Enumeration date
09/12/2022
Last updated
03/03/2026
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