Individual
HENGAMEH DJALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2663 CONSTITUTION CIR, WOODBRIDGE, VA 22192-1301
(703) 945-6156
Mailing address
2663 CONSTITUTION CIR, WOODBRIDGE, VA 22192-1301
(703) 945-6156
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100271261
VA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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