Individual
NICOLE NEGAR MEHRAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7955 TUCKERMAN LN, ROCKVILLE, MD 20854-3243
(866) 389-2727
Mailing address
7955 TUCKERMAN LN, ROCKVILLE, MD 20854-3243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06325
MD
Other
Enumeration date
01/17/2017
Last updated
03/17/2018
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