Individual
MONICA N TAXALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13320 FRANKLIN FARM RD STE H, HERNDON, VA 20171-4097
(703) 481-5600
(703) 437-4137
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000539
VA
Other
Enumeration date
03/06/2009
Last updated
11/01/2021
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