Individual
MRS. HAWA ALICE KUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9255 CENTER ST, MANASSAS, VA 20110-5567
(703) 887-2063
Mailing address
9540 HARVEST PL, MANASSAS, VA 20110-6067
(703) 887-2063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022029815
MD
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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