Individual
ALIMAMY SALLU BUNDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 EXECUTIVE CIR, STAFFORD, VA 22554-7134
(540) 623-1028
Mailing address
103 EXECUTIVE CIR, STAFFORD, VA 22554-7134
(540) 623-1028
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
27821
VA
Other
Enumeration date
02/11/2022
Last updated
02/23/2022
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