Individual
ALEXANDRIA CANADA-MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15069 BROADWATER WAY, CHESTER, VA 23831-1786
(202) 716-9686
Mailing address
15069 BROADWATER WAY, CHESTER, VA 23831-1786
(202) 716-9686
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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