Irenious Pognibal Suglo
NPI #1295547933 in Manassas Park, Virginia
Provider Information
- NPI Number
- 1295547933
- Entity Type
- Individual
- Name
- Irenious Pognibal Suglo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 99 TREMONT ST
- City
- Manassas Park
- State
- Virginia
- ZIP Code
- 20111-1800
- Phone
- (571) 242-4645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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