Individual
LAURA DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6008 GRAYSON ST, SPRINGFIELD, VA 22150-3716
(571) 205-9310
Mailing address
6008 GRAYSON ST, SPRINGFIELD, VA 22150-3716
(571) 205-9310
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401175703
VA
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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