Individual
SHAMSA NOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9306 KITE ST, BURKE, VA 22015-3341
(703) 424-7837
(703) 424-7838
Mailing address
9306 KITE ST, BURKE, VA 22015-3341
(703) 424-7837
(703) 424-7838
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T25029968
VA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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