Individual
MRS. GRACE COLINA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0599
Mailing address
2557 GRAYTON LN, WOODBRIDGE, VA 22191-6300
(703) 805-0071
(703) 805-0189
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001166617
VA
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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