Individual
VALEENA NOEMI EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10432 STEEPLECHASE RUN LN, MANASSAS, VA 20110-6929
(626) 628-4192
Mailing address
10432 STEEPLECHASE RUN LN, MANASSAS, VA 20110-6929
(626) 628-4192
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN95057748
CA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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