Individual
FATMATA ALIE SANKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 MAURINE CT, GAINESVILLE, VA 20155-1204
(571) 263-5428
Mailing address
4800 MAURINE CT, GAINESVILLE, VA 20155-1204
(571) 263-5428
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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