MAHAWA MBALU KAGBO

BURKE, VA
NPI1659649655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0001169930)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
Ms. MAHAWA MBALU KAGBO FNP
5864 WOOD FLOWER CT
BURKE, VA 22015-2713
Phone number: 571-218-6565
Mailing Address
Ms. MAHAWA MBALU KAGBO FNP
5864 WOOD FLOWER CT
BURKE, VA 22015-2713
Phone number: 571-218-6565