HALA D MATA

FAIRFAX, VA
NPI1003583014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  F06212895)
Enumeration Date2021-08-26
Last Update Date2021-09-21
Business Address
HALA D MATA
3053 NUTLEY ST
FAIRFAX, VA 22031-1931
Phone number: 703-560-4852
Mailing Address
HALA D MATA
16024 BARN SWALLOW PL
WOODBRIDGE, VA 22191-5542
Phone number: 703-615-8664
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