Individual
MAHTAB MOLLAJAFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8212 ROSELAND DR, FAIRFAX STATION, VA 22039-2534
(703) 507-9266
Mailing address
8212 ROSELAND DR, FAIRFAX STATION, VA 22039-2534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007682
VA
Other
Enumeration date
02/03/2019
Last updated
10/14/2021
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