Individual
MR. JUDAH MWONGELA MUASYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9020F LORTON STATION BLVD STE 119, LORTON, VA 22079-4799
(703) 554-3130
Mailing address
8017 GEORGE FOX PL, LORTON, VA 22079-2347
(202) 629-6909
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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