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Individual

MRS. FAEDOWSA ABDI ISMAIL I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
44081 PIPELINE PLZ STE 100-2, ASHBURN, VA 20147-5891
(571) 446-9798
(703) 263-2206
Mailing address
44081 PIPELINE PLZ STE 100-2, ASHBURN, VA 20147-5891
(571) 446-9798
(703) 263-2206

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HCO151243
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80-0263295
VA
Enumeration date
06/19/2017
Last updated
06/19/2017
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