Individual
EARLY ARYANI ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11111 PIEDMONT LANDING DR, FREDERICKSBURG, VA 22407-8439
(703) 864-4341
Mailing address
11111 PIEDMONT LANDING DR, FREDERICKSBURG, VA 22407-8439
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181921104
—
VA
05
—
0183226098
—
VA
Enumeration date
08/11/2017
Last updated
06/16/2018
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