KHADIJA MACAULLY

RESTON, VA
NPI1265146229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024186062)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
KHADIJA MACAULLY
12018 SUNRISE VALLEY DR STE 100
RESTON, VA 20191-3444
Phone number: 571-262-2261
Mailing Address
KHADIJA MACAULLY
202 MARIANNE PL
STAFFORD, VA 22554-1621
Phone number: 571-275-0132