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Theresa Juana-kamanda
Family Nurse Practitioner in Manassas, Virginia
NPI 1750096962

Theresa Juana-kamanda is a Family Nurse Practitioner based in Manassas, VA and is specialized in Family. Theresa Juana-kamanda practices in Manassas, VA. The NPI Number for Theresa Juana-kamanda is 1750096962 and holds a License No. 2022068633 (Virginia).

The current practice location address for Theresa Juana-kamanda is 10625 Mccormick Farm Dr, Manassas, VA and can be reached out via phone at 571-306-8614.

Location: 10625 Mccormick Farm Dr, Manassas, VA, 20110-6934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750096962
Provider Name
Theresa Juana-kamanda
Credential
Provider Entity Type
Individual
Gender
Female
Address
10625 Mccormick Farm Dr, Manassas, VA, 20110-6934
Phone Number
571-306-8614
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10625 Mccormick Farm Dr
City
Manassas
State
Virginia
Zip
20110-6934
Phone Number
571-306-8614
Fax Number
person
Provider Business Mailing Address Details
Address
10625 Mccormick Farm Dr
City
Manassas
State
Virginia
Zip
20110-6934
Phone Number
571-306-8614
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2022068633 (Virginia)
Definition
Definition to come...
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