Individual
MARISSA ARIELLE MONCAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(979) 308-5541
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(979) 308-5541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
901370
TX
363L00000X
Nurse Practitioner
Primary
0024186152
VA
Other
Enumeration date
03/30/2021
Last updated
03/28/2023
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