Individual
FATOU SYLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 E WOOD ST STE 205, VINELAND, NJ 08360-3752
(856) 308-3139
Mailing address
629 E WOOD ST STE 205, VINELAND, NJ 08360-3752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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