Individual
DR. JASMINE WANDA MOGHISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 TOWN CENTER DR STE 310, RESTON, VA 20190-5899
(703) 281-5560
(703) 281-5568
Mailing address
1860 TOWN CENTER DR STE 310, RESTON, VA 20190-5899
(703) 281-5560
(703) 281-5568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101044043
VA
Other
Enumeration date
07/29/2006
Last updated
03/04/2026
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