Individual
RODABA AHMADI MEHERZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Mailing address
12181 GREATBRIDGE RD, WOODBRIDGE, VA 22192-5514
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4612
VA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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