Individual
KATHERINE SARAH LAVERRIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(516) 381-7418
Mailing address
15950 WATERFORD CREST PL, PAEONIAN SPRINGS, VA 20129-1870
(516) 381-7418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001306375
VA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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