Individual provider · NPI-1
Alimamy Sallu Bundu
Taxi · Stafford, VA
NPI number1841945474
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1841945474
- Entity type
- Individual (NPI-1)
- Name
- Alimamy Sallu Bundu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 344600000X | Taxi | 27821 | VA | Yes |
Practice location
103 Executive CirStafford, VA 22554-7134
Phone 540-623-1028
Mailing address
103 Executive CirStafford, VA 22554-7134
Phone 540-623-1028
Is something wrong?
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