Individual
MS. SUSAN LOUISE MESSAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2504 PATRICK ST., VIENNA, VA 22180
(703) 207-9136
Mailing address
2504 PATRICK ST., VIENNA, VA 22180
(703) 207-9136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001123598
VA
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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