Individual
MS. MICHELLE YVONNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
(703) 519-6505
Mailing address
11598 LAGRANGE LN, KING GEORGE, VA 22485-6611
(540) 775-9993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002030994
VA
Other
Enumeration date
01/08/2007
Last updated
06/13/2024
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