Individual
NOOR IMRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA, CMAA,CPT
Contact information
Practice address
13212 KINNICUTT DR, WOODBRIDGE, VA 22192-5655
(703) 659-7484
Mailing address
13212 KINNICUTT DR, WOODBRIDGE, VA 22192-5655
(703) 659-7484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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