Provider Demographics
NPI:1336985712
Name:BAIE, SANDERINE MANIGHA
Entity type:Individual
Prefix:
First Name:SANDERINE
Middle Name:MANIGHA
Last Name:BAIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6014 NEW PEMBROOK LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-8377
Mailing Address - Country:US
Mailing Address - Phone:540-498-1300
Mailing Address - Fax:
Practice Address - Street 1:6014 NEW PEMBROOK LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8377
Practice Address - Country:US
Practice Address - Phone:540-498-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator