Individual
MISS DOMINIQUE MBACHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7619 LITTLE RIVER TPKE, SUITE 6000, ANNANDALE, VA 22003-2625
(703) 752-8700
Mailing address
7619 LITTLE RIVER TPKE, SUITE 6000, ANNANDALE, VA 22003-2625
(703) 752-8700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R188756
MD
163W00000X
Registered Nurse
Primary
RN1016983
DC
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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