Mahmoud, Desiree Debora
Mahmoud, Desiree Debora is an individual health care provider with primary practice located at 12731 Marblestone Dr Ste 101 , Woodbridge VA 22192-8334. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mahmoud, Desiree Debora can be contacted via phone (571) 589-0201.Contact Information
Primary practice address
12731 Marblestone Dr Ste 101
Woodbridge VA 22192-8334
Phone: (571) 589-0201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1427628239 |
|---|---|
| LBN Legal business name | Mahmoud, Desiree Debora |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2021 |
| Last updated | Jun 25th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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