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Individual

IVOLINE BENAZEA NKOAMBONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6323 GEORGIA AVE NW STE 360, WASHINGTON, DC 20011-1101
(202) 621-8494
Mailing address
4360 WELSH LN APT 5, WOODBRIDGE, VA 22193-5649
(202) 621-8494

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001344754
VA

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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