Individual
IVANIA PATRICIA RAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7060
Mailing address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002101139
VA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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