Individual
ANAB JIBRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11249 KESSLER PL, MANASSAS, VA 20109-7778
(571) 435-4889
Mailing address
11249 KESSLER, MANASSAS, VA 20109
(571) 435-4889
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
VA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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