Individual
EVA KATHRYN LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8190 SNOWFALL DR, MANASSAS, VA 20112-3709
(571) 621-2067
Mailing address
8190 SNOWFALL DR, MANASSAS, VA 20112-3709
(571) 621-2067
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401211512
VA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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