SearchVirginia183500000X

Sabek Bantiwalu

NPI 1871877423 · on the registry since 2011 · sole proprietor

Practice

Address
8414 Old Keene Mill Rd
Unit A
Springfield, VA 22152
Phone
(703) 913-6712
Fax
(703) 913-6718
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-30

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