Individual
MR. RICHARD E MUNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0292
Mailing address
7914 FRYE RD, ALEXANDRIA, VA 22309-1140
(703) 799-4134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002037721
VA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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