Organization
THADUBA LLC
Active
Other names
Thaduba LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANSARAY (OWNER)
(703) 597-1056
Entity
Organization
Contact information
Practice address
3218 BLAZER LOOP APT 301, WOODBRIDGE, VA 22193-5581
(703) 597-1056
Mailing address
3218 BLAZER LOOP APT 301, WOODBRIDGE, VA 22193-5581
(703) 597-1056
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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