Individual
WAFAA A HASSAN V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4337 GARST MILL RD, ROANOKE, VA 24018-6231
(540) 793-3161
Mailing address
4337 GARST MILL RD, ROANOKE, VA 24018-6231
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1365
VA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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