Healthcare Provider Details

I. General information

NPI: 1326510538
Provider Name (Legal Business Name): FLAWLESS BEAUTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2018
Last Update Date: 12/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW STE 135
WASHINGTON DC
20008-2533
US

IV. Provider business mailing address

20338 BRENTMEADE TER
STERLING VA
20165-6456
US

V. Phone/Fax

Practice location:
  • Phone: 202-808-5818
  • Fax:
Mailing address:
  • Phone: 703-203-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZAHRA MOHSENI
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 703-203-2590