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Individual

ZINAIDA POTORAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP, CCNS

Contact information

Practice address
1215 ROSS DR SW, VIENNA, VA 22180-6723
(703) 851-7783
Mailing address
1215 ROSS DR SW, VIENNA, VA 22180-6723
(703) 851-7783

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001197517
VA
163W00000X
Registered Nurse
RN1023604
DC

Other

Enumeration date
01/11/2013
Last updated
01/11/2013
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