IVY DZIFA DZIVENU

FREDERICKSBURG, VA
NPI1215741301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024192399)
Enumeration Date2025-02-06
Last Update Date2025-02-06
Business Address
IVY DZIFA DZIVENU
6308 FIVE MILE CENTRE PARK
FREDERICKSBURG, VA 22407-5508
Phone number: 540-642-0883
Mailing Address
IVY DZIFA DZIVENU
6308 FIVE MILE CENTRE PARK
FREDERICKSBURG, VA 22407-5508
Phone number: 540-642-0883
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