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Individual

MRS. FADUMA M HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24808 STONE PILLAR DR, STONE RIDGE, VA 20105-2954
(703) 946-7139
(703) 738-7955
Mailing address
24808 STONE PILLAR DR, STONE RIDGE, VA 20105-2954
(703) 946-7139
(703) 738-7955

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO -161242
VA

Other

Enumeration date
02/11/2015
Last updated
05/30/2016
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