Individual
ASLAN CONQUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14563 GOLDEN OAK RD, CENTREVILLE, VA 20121-2261
(540) 514-5199
Mailing address
14563 GOLDEN OAK RD, CENTREVILLE, VA 20121-2261
(540) 514-5199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001312071
VA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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