Individual
BINTOU G KABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 FOLLIN LN SE, VIENNA, VA 22180-4907
(703) 206-2122
(703) 206-1371
Mailing address
9200 WILDWOOD ST, LORTON, VA 22079-1818
(703) 863-4656
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024177658
VA
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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