Individual
CARLEYNA MARIAH DANCING STAR NUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6355 WALKER LN STE 508, ALEXANDRIA, VA 22310-3251
(703) 971-7633
(703) 971-0997
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101260851
VA
207V00000X
Obstetrics & Gynecology Physician
50034
AZ
207V00000X
Obstetrics & Gynecology Physician
R72602
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558659144
—
VA
05
—
5372
—
AZ
01
—
R72602
MEDICAL LICENSE NUMBER
AZ
Enumeration date
07/15/2011
Last updated
11/29/2023
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