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Hala D Mata
Family Nurse Practitioner in Fairfax, Virginia
NPI 1003583014

Hala D Mata is a Family Nurse Practitioner based in Woodbridge, VA and is specialized in Family. Hala D Mata practices in Fairfax, VA. The NPI Number for Hala D Mata is 1003583014 and holds a License No. F06212895 (Virginia).

The current practice location address for Hala D Mata is 3053 Nutley St, Fairfax, VA and can be reached out via phone at 703-560-4852.

Location: 3053 Nutley St, Fairfax, VA, 22191-5542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003583014
Provider Name
Hala D Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
3053 Nutley St, Fairfax, VA, 22191-5542
Phone Number
703-560-4852
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3053 Nutley St
City
Fairfax
State
Virginia
Zip
22031-1931
Phone Number
703-560-4852
Fax Number
person
Provider Business Mailing Address Details
Address
3053 Nutley St
City
Fairfax
State
Virginia
Zip
22031-1931
Phone Number
703-560-4852
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F06212895 (Virginia)
Definition
Definition to come...
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