Individual
VANESSA K TATAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5757 DOW AVE APT 413, ALEXANDRIA, VA 22304-5107
(407) 683-7007
Mailing address
5757 DOW AVE APT 413, ALEXANDRIA, VA 22304-5107
(407) 683-7007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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