Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist |
NPI | 1043989494 |
---|---|
Provider Name | Uswa Arain |
First Address | Woodbridge, VA 22191-5903 |
Second Address | Woodbridge, VA 22191-5903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2021 |
Last Update Date | 01/10/2021 |