Individual
SHEERI KAUR JONNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033-2944
(703) 865-6490
Mailing address
3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033-2944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1099268
VA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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