Individual
LAILA BAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6360 HOADLY RD, MANASSAS, VA 20112-3422
(703) 897-4961
Mailing address
8949 GARRETT WAY, MANASSAS, VA 20112-5873
(571) 277-2478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178004
VA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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