Individual
SAMARA JALALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 S GEORGE MASON DR, SUITE C2N, FALLS CHURCH, VA 22041-3758
(703) 989-7731
Mailing address
3701 S. GEORGE MASON DR., SUITE C2N, FALLS CHURCH, VA 22041
(703) 989-7731
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
VA
174400000X
Specialist
—
VA
175F00000X
Naturopath
Primary
—
VA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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