Individual
WENDY JACELYN CHILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12105 RAGAN OAKS CT, FAIRFAX, VA 22033-4067
(202) 819-3979
Mailing address
12105 RAGAN OAKS CT, FAIRFAX, VA 22033-4067
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401065265
VA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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