Individual
MEAE NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6429 ASHBY GROVE LOOP, HAYMARKET, VA 20169
(703) 965-9526
Mailing address
6429 ASHBY GROVE LOOP, HAYMARKET, VA 20169
(703) 965-9526
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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