Individual
MRS. JENNIFER GUZI CASOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8012 ELM PL, DUNN LORING, VA 22027-1119
(703) 248-8158
Mailing address
8012 ELM PL, DUNN LORING, VA 22027-1119
(703) 573-8440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
RN964596
DC
363LF0000X
Family Nurse Practitioner
Primary
0024168210
VA
Other
Enumeration date
06/12/2007
Last updated
07/12/2012
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