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STANISLAUS MBONG EBAKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400
Mailing address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 746-3400

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001214658
VA

Other

Enumeration date
12/20/2010
Last updated
06/13/2024
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