Individual
OMAR ABDEL RAZZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14404 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6835
(804) 378-1800
Mailing address
8803 LAWNDELL RD, HENRICO, VA 23229-3129
(804) 824-7115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024187844
VA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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