Provider Demographics
NPI:1518756873
Name:COLMENAREZ, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:COLMENAREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10313 LYNNHAVEN PLACE
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1784
Mailing Address - Country:US
Mailing Address - Phone:571-682-7182
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVE STE 800
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5832
Practice Address - Country:US
Practice Address - Phone:301-949-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU03051171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist