Individual
MOHAMMAD A. AMIRI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9527 MOONEN BAY LN, BRISTOW, VA 20136-3515
(609) 621-5926
Mailing address
9527 MOONEN BAY LN, BRISTOW, VA 20136-3515
(609) 621-5926
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
62743137
VA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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