Individual
CATHERINE MBONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11921 FREEDOM DR, RESTON, VA 20190-5667
(703) 783-4375
Mailing address
3572 BRIARWOOD DR, DUMFRIES, VA 22026-6204
(978) 394-3305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191508
VA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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