Search › Virginia › 246ZC0007X
Mohamed Stambouli, CSA
NPI 1083376230 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5771 Coakley Dr
King George, VA 22485 - Phone
- (202) 749-1404
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Also registered as
- 246ZX2200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia