Individual
RANA BISSAT ROUSTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ROBIN WAY CT, VIENNA, VA 22182-5000
(703) 848-9491
(703) 848-9491
Mailing address
2101 ROBIN WAY CT, VIENNA, VA 22182-5000
(703) 848-9491
(703) 848-9491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003827
VA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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