Larson-Jadali, Gloria

Larson-Jadali, Gloria is an individual health care provider with primary practice located at 4113 Stevenson St Stevenson Place, Fairfax VA 22030-5617. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Larson-Jadali, Gloria can be contacted via phone (703) 460-6200.

Contact Information

Primary practice address
4113 Stevenson St Stevenson Place Fairfax VA 22030-5617
Phone: (703) 460-6200
Fax: (703) 277-7090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 0001078585 Virginia

Profile Details

NPI number 1790828358
LBN Legal business name Larson-Jadali, Gloria
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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