Individual
FARANAK TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
8206 LEESBURG PIKE, STE 201, VIENNA, VA 22182-2614
(703) 663-8808
(703) 663-8953
Mailing address
4290 BIRNEY LN, FAIRFAX, VA 22033-4333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556954
VA
Other
Enumeration date
03/13/2012
Last updated
04/04/2018
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