Individual
SHAZIA RAZZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 DEL MAR DR, WOODBRIDGE, VA 22193-2704
(571) 215-9433
Mailing address
3910 DEL MAR DR, WOODBRIDGE, VA 22193-2704
(571) 215-9433
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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