ETHNA YAMBASU

WOODBRIDGE, VA
NPI1558810515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002089920)
Enumeration Date2016-09-30
Last Update Date2016-09-30
Business Address
-- ETHNA YAMBASU
14320 WESTWAY LN
WOODBRIDGE, VA 22193-2800
Phone number: 703-939-2077
Mailing Address
-- ETHNA YAMBASU
14320 WESTWAY LN
WOODBRIDGE, VA 22193-2800
Phone number: