| 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 |