Individual
JEMIMA M DESIR TELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6360 HOADLY RD, MANASSAS, VA 20112-3422
(703) 897-4961
Mailing address
6360 HOADLY RD, MANASSAS, VA 20112-3422
(703) 897-4961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182117
VA
Other
Enumeration date
07/13/2021
Last updated
09/03/2021
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