Individual
ISHMAIL SAIDU NABIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-1000
Mailing address
6667 JACKSON FIELDS CT, CENTREVILLE, VA 20121-6218
(703) 507-6220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
C66047384
VA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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