Individual
DR. DARLENE MANSOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3023 HAMAKER CT STE 300, FAIRFAX, VA 22031-2240
(703) 876-2788
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101246155
VA
207KA0200X
Allergy Physician
0101246155
VA
Other
Enumeration date
04/12/2007
Last updated
05/01/2020
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