PHANTA JAH

FALLS CHURCH, VA
NPI1174296461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: VA  0024182355)
Enumeration Date2021-08-01
Last Update Date2022-08-01
Business Address
PHANTA JAH
2833 CLEAVE DR.
FALLS CHURCH, VA 22042
Phone number: 800-969-1104
Mailing Address
PHANTA JAH
2833 CLEAVE DR.
FALLS CHURCH, VA 22042-1837
Phone number: 180-096-9110
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