Individual
CARLY JO NOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 SPRING HILL RD STE 210, MC LEAN, VA 22102-3006
(703) 738-4342
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-004998
VA
Other
Enumeration date
07/07/2015
Last updated
11/06/2018
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