JOHNSON KOMOLAFE

SPRINGFIELD, VA
NPI1174540504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD  R123830)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
JOHNSON KOMOLAFE NP
7011 CALAMO ST #105
SPRINGFIELD, VA 22150
Phone number: 301-670-4250
Mailing Address
JOHNSON KOMOLAFE NP
PO BOX 8057
ALEXANDRIA, VA 22306-8057
Phone number: