Individual
MS. PENELOPE MARIA DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21035 SYCOLIN RD STE 55, ASHBURN, VA 20147-4311
(703) 496-4616
(703) 496-4615
Mailing address
21035 SYCOLIN RD STE 55, ASHBURN, VA 20147-4311
(703) 496-4616
(703) 496-4615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002099105
VA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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