Individual
MRS. KATHERINE MARGARET M. WENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11609 DEER FOREST RD, RESTON, VA 20194-1104
(703) 437-1943
Mailing address
11609 DEER FOREST RD, RESTON, VA 20194-1104
(703) 437-1943
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001203352
VA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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