Individual
MAMUSU SESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
116 E MAIN ST, FRONT ROYAL, VA 22630-3337
(800) 601-0790
(571) 441-0861
Mailing address
316 WARREN AVE STE 2, FRONT ROYAL, VA 22630-4480
(804) 588-9178
(571) 441-0861
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP48908
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427550110
—
VA
Enumeration date
05/18/2018
Last updated
08/03/2022
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