IRENE BONITA GREEN

FALLS CHURCH, VA
NPI1194371211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0024177399)
Enumeration Date2019-08-14
Last Update Date2019-08-14
Business Address
IRENE BONITA GREEN Nurse Practitioner
3302 GALLOWS RD
FALLS CHURCH, VA 22042-3353
Phone number: 571-269-5806
Mailing Address
IRENE BONITA GREEN Nurse Practitioner
9411 LEE HWY APT 813
FAIRFAX, VA 22031-1800
Phone number: 571-269-5806
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