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Individual

ILYAS SALOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMH-NP

Contact information

Practice address
9300 DEWITT LOOP, FBCH - ADULT OUTPATIENT BEHAVIORAL HEALTH, FORT BELVOIR, VA 22060-5285
(571) 231-1270
(571) 231-6623
Mailing address
9300 DEWITT LOOP, ATAMMC - ADULT OUTPATIENT BEHAVIORAL HEALTH, FORT BELVOIR, VA 22060
(571) 231-1270
(571) 231-6623

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024170694
VA

Other

Enumeration date
11/03/2010
Last updated
07/18/2025
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