Individual
PACHARAPORN TUNSARAWUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5226 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 212-9190
Mailing address
5226 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 212-9190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189887
VA
Other
Enumeration date
04/09/2024
Last updated
09/23/2024
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