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1750096962
THERESA JUANA-KAMANDA
MANASSAS, VA
NPI
1750096962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 2022068633)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
THERESA JUANA-KAMANDA
10625 MCCORMICK FARM DR
MANASSAS, VA 20110-6934
Phone number: 571-306-8614
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Mailing Address
THERESA JUANA-KAMANDA
10625 MCCORMICK FARM DR
MANASSAS, VA 20110-6934
Phone number: 571-306-8614
Copy
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