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Individual

GLORIA OPPONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2378 ROLLING FORK CIR APT 201, HERNDON, VA 20171-5176
(571) 338-2313
Mailing address
2378 ROLLING FORK CIR APT 201, HERNDON, VA 20171-5176
(571) 338-2313

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401162502
VA

Other

Enumeration date
08/24/2015
Last updated
08/24/2015
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