Individual
AHMAD MUTAWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 FAIRFAX DR STE 120, ARLINGTON, VA 22203-1613
(703) 292-4060
Mailing address
3034 COVINGTON ST, FAIRFAX, VA 22031-2040
(202) 390-6532
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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