Individual
DEBRA MANALAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(800) 394-4445
Mailing address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001171291
VA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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