Individual
MRS. HOMA A PUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.B.A
Contact information
Practice address
9306 OLD KEENE MILL RD STE A, BURKE, VA 22015-4280
(703) 440-1131
(703) 440-1132
Mailing address
9306 OLD KEENE MILL RD STE A, BURKE, VA 22015-4280
(703) 440-1131
(703) 440-1402
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
80167276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154520990
—
VA
Enumeration date
07/22/2008
Last updated
12/15/2020
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