NPI 1093422982

Eric Mbualungu

Practitioner Nursing Home Administrator Centreville, VA

Practice location

Address: 14600 Cedar Knoll Dr, Centreville, VA 20120-2895
Phone: (571) 619-3099

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1093422982
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2022
Record last updated: 1 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.