Individual
MRS. CONCEPCION MUNGCAL BALATBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2605 BEACON HILL RD, ALEXANDRIA, VA 22306-1611
(703) 660-6440
(703) 660-8947
Mailing address
8531 HOOES RD, SPRINGFIELD, VA 22153-1709
(703) 644-0916
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0001162249
VA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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