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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SOSTHENE MBALLA NDOMO, NP

Active Sole Proprietor

MR. SOSTHENE MBALLA NDOMO, NP is a Licensed Practical Nurse healthcare provider located in ALEXANDRIA, Virginia. NPI 1750050522 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ALEXANDRIA, VA

Registration Details

NPI Number
1750050522
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2021 (4.9622505713489 yrs)
Last Updated
Feb 23, 2026
Licenses
0024182625 (VA)
0024182625 (VA)
Sole Proprietor
Yes

Practice Information

Address
6463 ROCKSHIRE CT
ALEXANDRIA, VA, 223153428
Browse VA providers · Browse ZIP 22315
Phone
5712086962
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Nurse Practitioner

Other Licensed Practical Nurse Providers in ALEXANDRIA, VA

Name Credential NPI
MS. SAFFIE DEEN LPN 1093821407
KIMBERLY ELLEN BRANAM 1558428847
MS. MICHELLE YVONNE STEVENS LPN 1457409112
MRS. CHRISTA LOUISE OLIVA-MARPLE LPN 1992963698
MILVA MCCALLUM NP 1033365705
ISAAC RASHID 1801280698
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.