Individual
CHERYL-GRACE BUNGAY WORHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0002
(360) 417-5894
(360) 417-5899
Mailing address
2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0002
(360) 417-5894
(360) 417-5899
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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