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Individual

HAFIDA BOUFALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6133 LEESBURG PIKE APT 402, FALLS CHURCH, VA 22041-2162
(571) 398-8795
Mailing address
6133 LEESBURG PIKE APT 402, FALLS CHURCH, VA 22041-2162
(571) 398-8795

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004409
VA
363A00000X
Physician Assistant
PA031026
DC

Other

Enumeration date
03/25/2014
Last updated
01/30/2024
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