Individual
MABEL BASHORUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9257 DAWKINS CREST CIR, BRISTOW, VA 20136-6173
(703) 789-7683
Mailing address
9257 DAWKINS CREST CIR, BRISTOW, VA 20136-6173
(703) 789-7683
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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