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Individual

BEATE NIYOMANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2204 MOUNTAIN RD, GLEN ALLEN, VA 23060-2232
(804) 261-5085
Mailing address
2204 MOUNTAIN RD, GLEN ALLEN, VA 23060-2232

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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