Individual
TIWAUNDA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 JUSTIN COURT, STAFFORD, VA 22554-2255
(337) 802-5764
Mailing address
3 JUSTIN COURT, STAFFORD, VA 22554
(703) 855-7193
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HCO-222617
VA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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