Individual
MS. LINA H ELNAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298
(804) 828-9190
Mailing address
5105 COLEBROOK PL, ALEXANDRIA, VA 22312
(703) 232-5649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000391
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
08/18/2020
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