MIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROY

ARLINGTON, VA
NPI1497945174
Professional NameBALLSTON FAMILY MEDICINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101241806)
Enumeration Date2007-07-28
Last Update Date2016-08-10
Business Address
-- MIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROY MD
1715 N GEORGE MASON DR SUITE 501
ARLINGTON, VA 22205-3609
Phone number: 703-527-4466
Mailing Address
-- MIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROY MD
4710 OLD DOMINION DR
ARLINGTON, VA 22207-3527
Phone number: 703-527-4466
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