Individual
ORBAL MARIAM ANWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 LIBERIA AVE, MANASSAS, VA 20110-1718
(703) 722-4915
Mailing address
9405 LIBERIA AVE, MANASSAS, VA 20110-1718
(703) 722-4915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003113
VA
152W00000X
Optometrist
3511AT
OR
Other
Enumeration date
09/05/2013
Last updated
02/14/2023
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