Individual
SHEEJA MOLE KOLENCHERRY AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5936 STERLINGWORTH DR, MOSELEY, VA 23120-0049
(570) 702-7849
Mailing address
5936 STERLINGWORTH DR, MOSELEY, VA 23120-0049
(570) 702-7849
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0024191443
VA
363L00000X
Nurse Practitioner
Primary
0024191443
VA
Other
Enumeration date
10/14/2024
Last updated
10/16/2024
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