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1164094843
MARY EILEEN ROTH
FALLS CHURCH, VA
NPI
1164094843
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Former Name
MARY EILEEN GERARDO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024182085)
Enumeration Date
2021-07-13
Last Update Date
2021-08-26
Business Address
MARY EILEEN ROTH FNP-BC
6100 ARLINGTON BLVD
FALLS CHURCH, VA 22044-2901
Phone number: 703-237-8627
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Mailing Address
MARY EILEEN ROTH FNP-BC
5044 EISENHOWER AVE APT 418
ALEXANDRIA, VA 22304-4869
Phone number: 804-658-8536
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