Individual
MR. BESHOY F IPRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 VICTORY DR, HERNDON, VA 20170-5216
(703) 705-9559
Mailing address
3938 LINCOLNSHIRE ST, ANNANDALE, VA 22003-2520
(571) 250-9738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016861
VA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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