Moukdagou, Saly Damigou

Moukdagou, Saly Damigou is an individual health care provider with primary practice located at 12255 Fair Lakes Pkwy , Fairfax VA 22033-3952. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Moukdagou, Saly Damigou can be contacted via phone (703) 934-5700.

Contact Information

Primary practice address
12255 Fair Lakes Pkwy Fairfax VA 22033-3952
Phone: (703) 934-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 0001279380 Virginia

Profile Details

NPI number 1962027755
LBN Legal business name Moukdagou, Saly Damigou
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 2020 - 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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