Provider Demographics
NPI:1447751458
Name:MONGE, AMERICA (DC)
Entity Type:Individual
Prefix:DR
First Name:AMERICA
Middle Name:
Last Name:MONGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17975 SWANS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-4528
Mailing Address - Country:US
Mailing Address - Phone:571-232-8100
Mailing Address - Fax:
Practice Address - Street 1:5555 COLUMBIA PIKE STE 201
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-3117
Practice Address - Country:US
Practice Address - Phone:703-662-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-25
Last Update Date:2018-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor