Individual
GEORGINA THELMA KOOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7951 RICHMOND HWY, APT. # 31, ALEXANDRIA, VA 22306-3019
(571) 313-9339
Mailing address
7951 RICHMOND HWY, APT. # 31, ALEXANDRIA, VA 22306-3019
(571) 313-9339
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A60067095
VA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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