Individual
MRS. ELEANOR MARLENE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-7713
(703) 490-7795
Mailing address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-7713
(703) 490-7795
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001047830
VA
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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