Mr Edwin Charles Khonyongwa, LALFA, LPN | |
7829 Dolleys Ct, King George, VA 22485-7085 | |
(540) 318-3940 | |
(703) 910-6907 |
Full Name | Mr Edwin Charles Khonyongwa |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 7829 Dolleys Ct, King George, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922611078 | NPI | - | NPPES |
1732000897 | Other | VA | NURSING HOME ADMINISTRATOR |
0002092297 | Other | VA | LICENSED PRACTICAL NURSE |
1706001017 | Other | VA | ASSISTED LIVING ADMINISTRATOR |
1401150271 | Other | VA | NURSE AID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 0002092297 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin Charles Khonyongwa, LALFA, LPN 5153 Spinnaker Ln, King George, VA 22485-3163 Ph: (571) 354-9781 | Mr Edwin Charles Khonyongwa, LALFA, LPN 7829 Dolleys Ct, King George, VA 22485-7085 Ph: (540) 318-3940 |
Aleta M Dorm, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11399 Ianthas Way, King George, VA 22485 Phone: 717-318-9681 |