Individual
AMINULLAH MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13710 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3267
(804) 594-3003
Mailing address
132 TREE LINE DR, FREDERICKSBURG, VA 22405-1257
(703) 884-5140
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0436000656
VA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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