Healthcare Provider Details

I. General information

NPI: 1306773239
Provider Name (Legal Business Name): FATOU SANYANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4526 FEDERAL AVE BLDG 9
EVERETT WA
98203-2132
US

IV. Provider business mailing address

16717 ALDERWOOD MALL PKWY APT G307
LYNNWOOD WA
98037-3229
US

V. Phone/Fax

Practice location:
  • Phone: 425-209-1952
  • Fax:
Mailing address:
  • Phone: 347-638-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: