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Individual

EILEEN MOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
6355 WALKER LN, SUITE 401, ALEXANDRIA, VA 22310-3245
(703) 924-2100
(703) 924-9894
Mailing address
6355 WALKER LN, SUITE 401, ALEXANDRIA, VA 22310-3245
(703) 924-2100
(703) 924-9894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024167264
VA

Other

Enumeration date
06/18/2007
Last updated
07/08/2007
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