Individual
ANDREA GOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11341 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 471-0919
Mailing address
625B MAIN ST, GAITHERSBURG, MD 20878-6479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100797
MD
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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