Individual
SARAH FOROUGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(757) 388-6170
Mailing address
10409 DOMINION VALLEY DR, FAIRFAX STATION, VA 22039-2415
(202) 302-3578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008619
VA
Other
Enumeration date
06/28/2022
Last updated
07/05/2022
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