Individual
ERIC MBUALUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14600 CEDAR KNOLL DR, CENTREVILLE, VA 20120-2895
(571) 619-3099
Mailing address
14600 CEDAR KNOLL DR, CENTREVILLE, VA 20120-2895
(571) 619-3099
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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