KOMKWUAN PHOLTAVEE PARUCHABUTR

FORT BELVOIR, VA
NPI1689976367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
Additional Taxonomies163WW0101X Registered Nurse, Women's Health Care, Ambulatory
(Licence: NC  207275)
Enumeration Date2010-12-01
Last Update Date2021-05-10
Business Address
Mrs. KOMKWUAN PHOLTAVEE PARUCHABUTR WHNP-BC, FNP-BC, CNM
9600 DEWITT LOOP
FORT BELVOIR, VA 22060
Phone number: 703-424-5112
Mailing Address
Mrs. KOMKWUAN PHOLTAVEE PARUCHABUTR WHNP-BC, FNP-BC, CNM
103 PATRICK ST SW
VIENNA, VA 22180-6740
Phone number: 703-424-5112