Individual
TEJAN W BANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13902 MATHEWS DR, WOODBRIDGE, VA 22191-2409
(571) 888-1824
Mailing address
5125 SPRING BRANCH BLVD, DUMFRIES, VA 22025-3046
(571) 888-1824
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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