Individual
MS. HIRZA RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14010 SMOKETOWN RD STE 117, WOODBRIDGE, VA 22192-4722
(703) 580-0181
Mailing address
3000 MYRTLEWOOD DR, DUMFRIES, VA 22026-4537
(703) 618-9365
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006074
VA
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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