Individual
MAHSA MOMTAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 15TH ST N, ARLINGTON, VA 22201-2686
(703) 243-4239
Mailing address
43804 CENTRAL STATION DR APT 221, ASHBURN, VA 20147-7381
(703) 243-4239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217110
VA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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