Provider Demographics
NPI:1619210051
Name:SESAY, AL-HAJI (NURSING SERVICES)
Entity type:Individual
Prefix:MR
First Name:AL-HAJI
Middle Name:
Last Name:SESAY
Suffix:
Gender:M
Credentials:NURSING SERVICES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 S FOUR MILE RUN DR APT 21
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-3955
Mailing Address - Country:US
Mailing Address - Phone:703-537-9615
Mailing Address - Fax:
Practice Address - Street 1:1418 W MARSHALL ST
Practice Address - Street 2:APT 102
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3054
Practice Address - Country:US
Practice Address - Phone:703-537-9615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002075546164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse