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Individual

YAMA BUNDU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8575 RIXLEW LN, MANASSAS, VA 20109-3701
(301) 593-1315
(301) 681-4699
Mailing address
97 SANCTUARY LN, STAFFORD, VA 22554-7299
(703) 975-0942

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191312
VA

Other

Enumeration date
08/12/2024
Last updated
09/27/2024
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