Individual
MISS EILNAZ MOMENZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3414 OLANDWOOD CT, OLNEY, MD 20832
(301) 774-0500
(301) 774-7338
Mailing address
3414 OLANDWOOD CT, OLNEY, MD 20832-1384
(301) 774-0500
(301) 774-7338
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0004214
MD
Other
Enumeration date
09/16/2011
Last updated
07/27/2018
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