NPI Provider: 1457455495
Contact Name: motamedi shahnaz
Shahnaz Motamedi Information:
Shahnaz Motamedi organization have npi 1457455495, taxonomy code is 261QC1500X with license number is 24136965 in . This Business address located in 9024 Edgepark Rd, Vienna, VA 22182 Virginia.
Address: 11484 Washington Plz W Ste 300, Reston, VA 20190
Address: 9024 Edgepark Rd, Vienna, VA 22182
Phone: (703) 442-5144
Taxonomy Code: 261QC1500X
License Number: 24136965
License Number of State: VA
Primary Taxonomy Switch: Y
Enumeration Date: 9/11/2006
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