Individual
MR. HAITAM M ABUGHRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5422 ECHOLS AVE, ALEXANDRIA, VA 22311-1343
(571) 494-7896
Mailing address
5422 ECHOLS AVE, ALEXANDRIA, VA 22311-1343
(571) 494-7896
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B65301570
VA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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