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Individual

NAVEEN JONNALAGADDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13614 LEGACY CIR, APT E, HERNDON, VA 20171-4708
(703) 598-3489
Mailing address
13614 LEGACY CIR, APT E, HERNDON, VA 20171-4708
(703) 459-7657

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000192
IL

Other

Enumeration date
06/19/2010
Last updated
04/18/2014
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