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Individual

DIBA ROOZBEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 W EDMONSTON DR, ROCKVILLE, MD 20852-1228
(240) 403-0152
Mailing address
111 AMBERFIELD LN, GAITHERSBURG, MD 20878-2770
(240) 506-1692

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30145120
MD

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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