Individual
PAULINE NYEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HAYES ST, STAFFORD, VA 22556-8603
(240) 441-6788
Mailing address
60 HAYES ST, STAFFORD, VA 22556-8603
(240) 441-6788
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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