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Individual

MORGANA LUSTOSA COLOMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4660 KENMORE AVE STE 500, ALEXANDRIA, VA 22304-1300
(703) 370-0073
Mailing address
4660 KENMORE AVE STE 500, ALEXANDRIA, VA 22304-1300
(703) 370-0073

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101249297
VA

Other

Enumeration date
05/07/2008
Last updated
09/22/2011
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