ODONTUYA PUREVSANGA

STERLING, VA
NPI1811392103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0024175395)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  201500384NP-PP)
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704288222)
Enumeration Date2014-10-29
Last Update Date2024-01-10
Business Address
ODONTUYA PUREVSANGA NP-C
2 PIDGEON HILL DRIVE, SUITE 400
STERLING, VA 20165-6129
Phone number: 703-430-7090
Mailing Address
ODONTUYA PUREVSANGA NP-C
1050 N TAYLOR ST APT 408
ARLINGTON, VA 22201-4774
Phone number: