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Individual

MRS. ROKSANA GHASEMZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
14573 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6808
(703) 497-1234
Mailing address
1581 SPRING GATE DR UNIT 5412, MCLEAN, VA 22102-3442
(703) 855-4167

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101233103
VA

Other

Enumeration date
08/05/2006
Last updated
07/08/2007
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