Individual
WALTERLINA QUAGRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9074 MARBLE FALLS CT, BRISTOW, VA 20136-6146
(703) 477-0306
Mailing address
9074 MARBLE FALLS CT, BRISTOW, VA 20136-6146
(703) 477-0306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001213704
VA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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