Individual
JENNIFER MIJANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Mailing address
9 SWEETBRIAR CT, FREDERICKSBURG, VA 22405-2893
(703) 296-4430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0024181359
VA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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