Individual
MR. DAVID MANSARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3218 BLAZER LOOP APT 301, WOODBRIDGE, VA 22193-5581
(703) 597-1056
Mailing address
3218 BLAZER LOOP APT 301, WOODBRIDGE, VA 22193-5581
(703) 597-1056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10379
VA
Other
Enumeration date
03/29/2024
Last updated
04/19/2024
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