JUDITH STEWART WACKENHUT

ALEXANDRIA, VA
NPI1275076101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA  0024087869)
Enumeration Date2016-11-26
Last Update Date2016-11-26
Business Address
-- JUDITH STEWART WACKENHUT CPNP
545 TRIADELPHIA WAY
ALEXANDRIA, VA 22312-3496
Phone number: 205-437-8870
Mailing Address
-- JUDITH STEWART WACKENHUT CPNP
545 TRIADELPHIA WAY
ALEXANDRIA, VA 22312-3496
Phone number: 205-437-8870
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