Individual
FEMI ERIAGBONYE EMEFELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 KIRBY ST, MANASSAS PARK, VA 20111-3401
(703) 864-0149
Mailing address
279 KIRBY ST, MANASSAS PARK, VA 20111-3401
(170) 386-4014
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002090171
VA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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