Individual
AYO WHETHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7212 LOCKPORT PL, SUITE 104, LORTON, VA 22079-1525
(240) 510-5440
Mailing address
7212 LOCKPORT PL, SUITE 104, LORTON, VA 22079-1525
(240) 510-5440
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11040
DC
Other
Enumeration date
01/30/2015
Last updated
02/27/2015
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