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Individual

MR. ASAB RAMEDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1330 WISCONSIN AVE NW, WASHINGTON, DC 20007-3310
(202) 337-8969
Mailing address
1330 WISCONSIN AVE NW, WASHINGTON, DC 20007-3310
(202) 337-8969

Taxonomy

Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
156FX1202X
Optometric Technician
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
DC
Enumeration date
06/01/2012
Last updated
06/01/2012
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