Individual
MRS. MANOLA SANIXAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4379 RIDGEWOOD CENTER DR STE 102, GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, WOODBRIDGE, VA 22192-8323
(703) 680-7950
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001113951
VA
363L00000X
Nurse Practitioner
Primary
0024164630
VA
Other
Enumeration date
12/20/2006
Last updated
12/27/2011
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