Individual
MARLENE N SAUCEDO DONOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4337 TANEY AVE, ALEXANDRIA, VA 22304-6622
(571) 278-3870
Mailing address
4337 TANEY AVE, ALEXANDRIA, VA 22304-6622
(571) 278-3870
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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