Individual
EDITH OBENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7200 LORD BARTON DR, FREDERICKSBURG, VA 22407-7480
(540) 412-9480
(540) 412-9480
Mailing address
7200 LORD BARTON DR, FREDERICKSBURG, VA 22407-7480
(540) 412-9480
(540) 412-9480
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
8704198
VA
376K00000X
Nurse's Aide
1401116318
VA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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