Individual
EDRIAN GABRIEL MOLINYAWE SAMOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
Mailing address
624 GREYSANDS LN, PURCELLVILLE, VA 20132-3457
(703) 431-4947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191263
VA
Other
Enumeration date
09/27/2024
Last updated
01/07/2025
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