Individual
JEKATERINA TOLSTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2740 PROSPERITY AVE STE 200, FAIRFAX, VA 22031-4354
(703) 321-2600
Mailing address
7601 CHURCHILL WAY APT 937, DALLAS, TX 75251-1935
(305) 338-7288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174974
VA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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