Individual
ALEO KAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4810 BRADFORD DR, ANNANDALE, VA 22003-5539
(703) 863-7952
Mailing address
4810 BRADFORD DR, ANNANDALE, VA 22003-5539
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3042
VA
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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