person
Saly Damigou Moukdagou, REGISTEREDNURSE
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Fairfax, Virginia
NPI 1962027755

Saly Damigou Moukdagou is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Manassas, VA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Saly Damigou Moukdagou practices in Fairfax, VA and has the professional credentials of REGISTEREDNURSE. The NPI Number for Saly Damigou Moukdagou is 1962027755 and holds a License No. 0001279380 (Virginia).

The current practice location address for Saly Damigou Moukdagou is 12255 Fair Lakes Pkwy, Fairfax, VA and can be reached out via phone at 703-934-5700. You can also correspond with Saly Damigou Moukdagou through the mailing address at 10821 CLOVER CT, MANASSAS, VA - 20109-7246 (mailing address contact number: 571-267-0628).

Location: 12255 Fair Lakes Pkwy, Fairfax, VA, 20109-7246
person
Provider Profile Details
NPI Number
1962027755
Provider Name
Saly Damigou Moukdagou
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
12255 Fair Lakes Pkwy, Fairfax, VA, 20109-7246
Phone Number
703-934-5700
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12255 Fair Lakes Pkwy
City
State
Zip
22033-3952
Phone Number
703-934-5700
Fax Number
person
Provider Business Mailing Address Details
Address
12255 Fair Lakes Pkwy
City
State
Zip
22033-3952
Phone Number
703-934-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
0001279380 (Virginia)
Definition
Definition to come...
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