Individual
LISA KAINTOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
(703) 506-0123
(703) 734-1932
Mailing address
1343 KIRBY RD, MC LEAN, VA 22101-2410
(703) 201-0376
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001175289
VA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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