Individual
MARLANA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8348 TRAFORD LN, SPRINGFIELD, VA 22152-1663
(703) 866-2157
Mailing address
13891 GULLANE DR, WOODBRIDGE, VA 22191-1461
(571) 233-5990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002053111
VA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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