Individual
JANET OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314-4587
(703) 224-8890
Mailing address
2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314-4587
(703) 224-8890
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R236003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679120059
—
VA
Enumeration date
03/06/2020
Last updated
03/06/2020
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