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Individual

MICHEL KATULA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12011 LEE JACKSON HWY STE 501, FAIRFAX, VA 22033-3315
(703) 259-7027
Mailing address
PO BOX 221135, CHANTILLY, VA 20153-1135
(703) 259-7027

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136001037
VA

Other

Enumeration date
12/09/2025
Last updated
12/09/2025
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