Organization
MANOLISA T CORNEL- MANALOTO MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOLISA TANDOC CORNEL- MANALOTO (PRESIDENT)
(703) 499-9655
Entity
Organization
Contact information
Practice address
12710 DARBY BROOK CT, WOODBRIDGE, VA 22192-2486
(703) 499-9655
(703) 499-9535
Mailing address
12710 DARBY BROOK CT, WOODBRIDGE, VA 22192-2486
(703) 499-9655
(703) 499-9535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232671
VA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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