Individual
FATOUMATA BALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 THRUSH RD, STERLING, VA 20164-1616
(703) 898-6657
(703) 898-6657
Mailing address
36 THRUSH RD, STERLING, VA 20164-1616
(703) 898-6657
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
5332-01-001
VA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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