Individual
KENDRA B PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4444
(304) 993-5258
Mailing address
13511 UPHAM ST, QUANTICO, VA 22134-4208
(304) 993-5258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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