Individual
CHARBEL BOUSRAIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11792 INDIAN RIDGE RD, RESTON, VA 20191-3527
(857) 600-6766
Mailing address
11792 INDIAN RIDGE RD, RESTON, VA 20191-3527
(857) 600-6766
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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