Most Relevant Information
Provider Data
| NPI Number: | 1003002411 |
| Provider Name: | VIRGINIA ANIKWATA LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP35856 |
Most Important Dates
| Enumeration Date: | 09/19/2007 |
| Last Updated: | 09/19/2007 |
Provider Practice Location
3300 N RIDGE RD
SUITE 175
ELLICOTT CITY
MD
210433383
Practice Location Phone/Fax
| Phone: | 4107503474 |
| Fax: |
Provider Mailing Location
3957 BALLET WAY
BURTONSVILLE
MD
208661398
Provider Mailing Phone/Fax
| Phone: | 3014219511 |
| Fax: |