Individual
MARJAN YOUSEFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 BOONE BLVD STE 250, VIENNA, VA 22182-2642
(703) 255-5070
(703) 525-5802
Mailing address
8100 BOONE BLVD STE 250, VIENNA, VA 22182-2642
(703) 255-5070
(703) 525-5802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101243049
VA
207N00000X
Dermatology Physician
D0067082
MD
207N00000X
Dermatology Physician
MD035113
DC
Other
Enumeration date
06/09/2008
Last updated
09/27/2011
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