Individual
EZRA SASAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(252) 263-5787
Mailing address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(252) 263-5787
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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