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Mr. Sosthene Mballa Ndomo, NP
Licensed Practical Nurse in Alexandria, Virginia
NPI 1750050522

Sosthene Mballa Ndomo is a Licensed Practical Nurse based in Alexandria, VA. Sosthene Mballa Ndomo practices in Alexandria, VA and has the professional credentials of NP. The NPI Number for Sosthene Mballa Ndomo is 1750050522 and holds a License No. 0024182625 (Virginia).

The current practice location address for Sosthene Mballa Ndomo is 6463 Rockshire Ct, Alexandria, VA and can be reached out via phone at 571-208-6962.

Location: 6463 Rockshire Ct, Alexandria, VA, 22315-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750050522
Provider Name
Sosthene Mballa Ndomo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
6463 Rockshire Ct, Alexandria, VA, 22315-3428
Phone Number
571-208-6962
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024182625 01 VA VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
institution
Provider Business Practice Location Address Details
Address
6463 Rockshire Ct
City
Alexandria
State
Virginia
Zip
22315-3428
Phone Number
571-208-6962
Fax Number
person
Provider Business Mailing Address Details
Address
6463 Rockshire Ct
City
Alexandria
State
Virginia
Zip
22315-3428
Phone Number
571-208-6962
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0024182625 (Virginia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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