Individual
MOHAMMAD ABU LAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 ELLENWOOD DR, FAIRFAX, VA 22031-2036
(571) 299-0663
Mailing address
2915 ELLENWOOD DR, FAIRFAX, VA 22031-2036
(571) 299-0663
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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