Individual
MR. JEAN SYLVAIN ATEBA ONDOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9229 MATTHEW DR, MANASSAS PARK, VA 20111-2451
(240) 423-4691
(443) 773-1367
Mailing address
9229 MATTHEW DR, MANASSAS PARK, VA 20111-2451
(240) 423-4691
(443) 773-1367
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3567
VA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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