Individual
ELIZABETH WACHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12056 GREYWING SQ APT C2, RESTON, VA 20191-1879
(480) 343-4437
Mailing address
12056 GREYWING SQ APT C2, RESTON, VA 20191-1879
(480) 343-4437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200002603
DC
Other
Enumeration date
07/11/2023
Last updated
07/17/2023
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