Individual
SIMIN JAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
(703) 560-1000
Mailing address
8000 ILIFF DR, DUNN LORING, VA 22027-1235
(703) 560-1000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2306601458
VA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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