SearchVirginia253Z00000X

Lydia Jannah

NPI 1700650462 · on the registry since 2023 · sole proprietor

Practice

Address
14090 Big Crest Ln Apt 207
Woodbridge, VA 22191
Phone
(157) 477-8097
Organisation at this address
Alternative Living Residence
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
171M00000X
171M00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia