Individual
MWILA YIKONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8228 RIVERSIDE RD, ALEXANDRIA, VA 22308-1538
(703) 360-3855
Mailing address
8228 RIVERSIDE RD, ALEXANDRIA, VA 22308-1538
(703) 360-3855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603656
VA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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