Individual
MENETE SIMEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 BLUNDELL RD, FALLS CHURCH, VA 22042-3821
(571) 395-7099
Mailing address
3160 CAMPBELL DR, FAIRFAX, VA 22031-2302
(571) 395-7099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002093494
VA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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