Individual
IONELA RALUCA ANTONOIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2713 LOOKOUT RD, HAYMARKET, VA 20169-1644
(512) 785-6174
Mailing address
2713 LOOKOUT RD, HAYMARKET, VA 20169-1644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187410
VA
Other
Enumeration date
06/27/2023
Last updated
09/05/2024
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