Individual
MRS. FLORA PAUL FENCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14150 PARKEAST CIR, # 200, CHANTILLY, VA 20151-2295
(703) 968-4008
(703) 435-1961
Mailing address
2908 ROBIN GLEN CT, HERNDON, VA 20171-2329
(703) 437-0519
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001106035
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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