Individual
EILEEN DECESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
(703) 752-8700
(703) 752-8779
Mailing address
7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
(703) 752-8700
(703) 752-8779
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
0001076815
VA
163WH0200X
Home Health Registered Nurse
Primary
40015
DC
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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