Provider Demographics
NPI:1427573187
Name:MAGANA, DINORA CRISTINA
Entity Type:Individual
Prefix:
First Name:DINORA
Middle Name:CRISTINA
Last Name:MAGANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8642 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5868
Mailing Address - Country:US
Mailing Address - Phone:703-475-4436
Mailing Address - Fax:
Practice Address - Street 1:8642 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5868
Practice Address - Country:US
Practice Address - Phone:703-475-4436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide