Individual
HELENE MONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13448 PRINCEDALE DR, WOODBRIDGE, VA 22193-3941
(202) 560-7067
Mailing address
13448 PRINCEDALE DR, WOODBRIDGE, VA 22193-3941
(202) 560-7067
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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