Individual
ANGELA FAYE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17041 RICHMOND HWY, DUMFRIES, VA 22026-2129
(703) 221-0124
Mailing address
625 WOLFE ST APT A, FREDERICKSBURG, VA 22401-5735
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003411
VA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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