Iesha Boulware

NPI #1174368658 in Lorton, Virginia

Provider Information

NPI Number
1174368658
Entity Type
Individual
Name
Iesha Boulware
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 27, 2024
Last Updated
Jun 27, 2024

Practice Location

Address
9414 LAKELAND FELLS LN
City
Lorton
ZIP Code
22079-5016
Phone
(703) 371-7456

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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