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Organization

BEL KO PLC

Active
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Organization

BEL KO PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATRICE WHITE DNP (OWNER)
(703) 402-9760
Entity
Organization

Contact information

Practice address
2241C TACKETTS MILL DR, WOODBRIDGE, VA 22192-3028
(703) 402-9760
Mailing address
2241C TACKETTS MILL DR, WOODBRIDGE, VA 22192-3028
(703) 402-9760

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
03/05/2026
Last updated
08/25/2026
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