Individual
BONIFACE YASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6129 LEESBURG PIKE, FALLS CHURCH, VA 22041-2177
(571) 285-9083
Mailing address
6129 LEESBURG PIKE, FALLS CHURCH, VA 22041-2177
(571) 285-9083
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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