Individual
MONIQUE R. MURONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
44135 WOODRIDGE PKWY, SUITE 180, LEESBURG, VA 20176-1244
(571) 223-0424
(571) 223-0425
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-3113
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301051
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1000107
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081745500
MEDICAL ASSISTANCE
DC
01
—
1003078214
MEDICAL ASSISTANCE
VA
Enumeration date
06/29/2008
Last updated
10/28/2020
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