Isabella Theresa Carunungan
Student in an Organized Health Care Education/Training Program in Woodbridge, VA. Individual provider (NPI-1).
NPI number1255931978
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1255931978
- Entity type
- Individual (NPI-1)
- Name
- Miss Isabella Theresa Carunungan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2020
- Certification date
- Oct 30, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2501 Hunter PlWoodbridge, VA 22192-3945
Phone 571-659-0859
Mailing address
6529 Meadowfield CtElkridge, MD 21075-6879
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All 34 Student in an Organized Health Care Education/Training Program providers in Woodbridge · All 3,608 providers in Woodbridge
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