Individual
MIGUEL ANGEL PARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8041 LANTERN CT, MANASSAS, VA 20109-7772
(571) 655-3279
Mailing address
8041 LANTERN CT, MANASSAS, VA 20109-7772
(571) 655-3279
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A66180098
VA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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