Individual
FATMATA LANDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15170 BRAZIL CIR, WOODBRIDGE, VA 22193-5547
(703) 300-8167
Mailing address
15170 BRAZIL CIR, WOODBRIDGE, VA 22193-5547
(703) 300-8166
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-22693
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-22683
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
01/29/2022
Last updated
01/29/2022
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