Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 0101267707 | VA |
NPI | 1023495942 |
---|---|
Provider Name | Saliatou Maikarfi Jordan |
First Address | Alexandria, VA 22314-4287 |
Second Address | Arlington, VA 22203-1765 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 20/10/2021 |