Individual
DIANA LATIF MARZOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
VCUHS DEPARTMENT OF MEDICINE RESIDENCY, 1250 E. MARSHALL STREET, RICHMOND, VA 23298
(804) 828-5161
Mailing address
VCUHS GMEA, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0116036640
VA
Other
Enumeration date
04/22/2022
Last updated
07/06/2024
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