Individual
ABDESLAM ABDELAADIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BERGAMOT WAY, LAKE FREDERICK, VA 22630-2290
(703) 362-9525
Mailing address
109 BERGAMOT WAY, LAKE FREDERICK, VA 22630-2290
(703) 362-9525
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
1702
VA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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