LOIS TATUM PENN

RESTON, VA
NPI1861955031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024177462)
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
LOIS TATUM PENN Nurse Practitioner
12018 SUNRISE VALLEY DR
RESTON, VA 20191-3432
Phone number: 571-262-5200
Mailing Address
LOIS TATUM PENN Nurse Practitioner
12018 SUNRISE VALLEY DR
RESTON, VA 20191-3432
Phone number: 571-262-5200
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