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Individual

AMIN ROKNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11700 BOWMAN GREEN DR, RESTON, VA 20190-3501
(571) 375-2630
Mailing address
9706 DAYS FARM DR, VIENNA, VA 22182-7302
(760) 898-4826

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104-557265
VA
111N00000X
Chiropractor
33243
CA
111NR0400X
Rehabilitation Chiropractor
Primary
0104-557265
VA

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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