Individual
CLODIALE MBOUNGUEN NANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 BOONSBORO RD, LYNCHBURG, VA 24503-1802
(434) 386-6412
Mailing address
5006 BOONSBORO RD, LYNCHBURG, VA 24503-1802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202223221
VA
374U00000X
Home Health Aide
Primary
HHA11964
MD
Other
Enumeration date
03/30/2016
Last updated
12/08/2025
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