Individual
MONICA E. DONTOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4278 MEYERS RD, TRIANGLE, VA 22172-1700
(571) 286-2328
Mailing address
4278 MEYERS RD, TRIANGLE, VA 22172-1700
(571) 286-2328
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001149263
VA
163WH0200X
Home Health Registered Nurse
0001149263
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902449291
—
VA
05
—
82-1228487
—
VA
Enumeration date
03/03/2020
Last updated
11/05/2021
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