Individual
OMAR AL AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 COLONNADE DR APT 32, CHARLOTTESVILLE, VA 22903-4964
(434) 218-8404
(434) 202-1267
Mailing address
276 COLONNADE DR APT 32, CHARLOTTESVILLE, VA 22903-4964
(434) 218-8404
(434) 202-1267
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
318814-906132
VA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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