Individual
AFARH NUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15523 TRAVAILER CT, WOODBRIDGE, VA 22193-1013
(703) 878-1384
Mailing address
15523 TRAVAILER CT, WOODBRIDGE, VA 22193-1013
(703) 878-1384
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13L25342
VA
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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