Individual
KANEEZ FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(703) 981-8077
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005587
VA
Other
Enumeration date
11/16/2015
Last updated
04/05/2018
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