Individual
MRS. LAYLAH TIU GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
823 F SOUTH KING STREET, LEESBURG, VA 20175
(703) 777-5222
(703) 777-5144
Mailing address
PSC 2 BOX 14584, APO, AE 09012-0095
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017138089
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010086671
—
VA
Enumeration date
07/04/2006
Last updated
09/25/2008
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