DEIDRA HARALSON

WOODBRIDGE, VA
NPI1609512292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024176534)
Enumeration Date2022-05-07
Last Update Date2023-02-08
Business Address
DEIDRA HARALSON NP
13900 CHURCH HILL DR
WOODBRIDGE, VA 22191-2131
Phone number: 703-335-2779
Mailing Address
DEIDRA HARALSON NP
15325 BOWMANS FOLLY DR
MANASSAS, VA 20112-5476
Phone number: 571-455-0079