KELLYANN T CLARK

FALLS CHURCH, VA
NPI1811249378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0024170317)
Enumeration Date2012-10-09
Last Update Date2022-01-27
Business Address
-- KELLYANN T CLARK NP
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3359
Mailing Address
-- KELLYANN T CLARK NP
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3359
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