Individual
MRS. TERESA MALLEY FERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-9089
Mailing address
4910 LONGHORN DR, WOODBRIDGE, VA 22193-4331
(703) 730-6109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001148305
VA
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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