person
Theophiline Mary Ebiasah
Lactation Consultant (Registered Nurse) in Manassas, Virginia
NPI 1679089361

Theophiline Mary Ebiasah is a Lactation Consultant (Registered Nurse) based in Gainesville, VA and is specialized in Lactation Consultant. Theophiline Mary Ebiasah practices in Manassas, VA. The NPI Number for Theophiline Mary Ebiasah is 1679089361 and holds a License No. 0001174655 (Virginia).

The current practice location address for Theophiline Mary Ebiasah is 10701 Rosemary Dr, Manassas, VA and can be reached out via phone at 703-257-3000 and via fax at 703-257-3057.

Location: 10701 Rosemary Dr, Manassas, VA, 20155-5209
person
Provider Profile Details
NPI Number
1679089361
Provider Name
Theophiline Mary Ebiasah
Credential
Provider Entity Type
Individual
Gender
Female
Address
10701 Rosemary Dr, Manassas, VA, 20155-5209
Phone Number
703-257-3000
Fax Number
703-257-3057
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10701 Rosemary Dr
City
State
Zip
20109-7282
Phone Number
703-257-3000
Fax Number
703-257-3057
person
Provider Business Mailing Address Details
Address
10701 Rosemary Dr
City
State
Zip
20109-7282
Phone Number
703-257-3000
Fax Number
703-257-3057
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
0001174655 (Virginia)
Definition
Definition to come...
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