Individual
MEMOUNATOU SOUMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 BEECHCLIFF DR, ALEXANDRIA, VA 22306-5103
(571) 435-2073
(571) 435-2073
Mailing address
3307 BEECHCLIFF DR, ALEXANDRIA, VA 22306-5103
(571) 435-2073
(571) 435-2073
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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