Individual
MAHTAB VASIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14064 BIG BRANCH DR, DAYTON, MD 21036-1253
(689) 867-1529
Mailing address
14064 BIG BRANCH DR, DAYTON, MD 21036-1253
(689) 867-1529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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