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Individual

DR. MANOLISA TANDOC CORNEL-MANALOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12710 DARBY BROOK CT, WOODBRIDGE, VA 22192-2486
(703) 499-9655
(703) 499-9535
Mailing address
12710 DARBY BROOK CT, WOODBRIDGE, VA 22192-2486
(703) 499-9655
(703) 499-9535

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232671
VA

Other

Enumeration date
03/26/2006
Last updated
03/18/2008
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