Individual
RAISSA RELLA NGWA VEMOMBIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 POTOMAC HIGHLANDS CIR, TRIANGLE, VA 22172-1789
(703) 884-6202
Mailing address
4410 POTOMAC HIGHLANDS CIR, TRIANGLE, VA 22172-1789
(703) 884-6202
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8073
VA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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