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Individual

JAFAR MOTTAGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20800 GREAT FALLS PLZ, STERLING, VA 20165-2464
(703) 421-4020
(703) 421-2809
Mailing address
20800 GREAT FALLS PLZ, STERLING, VA 20165-2464
(703) 421-4020
(703) 421-2809

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202009421
VA
1835P1200X
Pharmacotherapy Pharmacist
Primary
0202009421
VA

Other

Enumeration date
01/29/2012
Last updated
01/29/2012
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