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1932734274
ELENA WORNOM
FAIRFAX, VA
NPI
1932734274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024178555)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
ELENA WORNOM
3620 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA 22033-1757
Phone number: 703-810-5223
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Mailing Address
ELENA WORNOM
PO BOX 75868
BALTIMORE, MD 21275-5868
Phone number:
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