Individual
MS. ISATU SIA SAFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9870A MAIN ST, FAIRFAX, VA 22031-3908
(571) 317-1742
Mailing address
12106 WESTLOCK PL, LAUREL, MD 20708-2422
(240) 713-0699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A00144644
MD
Other
Enumeration date
08/12/2018
Last updated
12/22/2021
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