Individual
SAMUELLA KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 BEAUREGARD ST STE G2, ALEXANDRIA, VA 22312-1709
(571) 397-8405
Mailing address
4810 BEAUREGARD ST STE G2, ALEXANDRIA, VA 22312-1709
(571) 397-8405
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
HCO-232895
VA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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