Most Relevant Information
Provider Data
| NPI Number: | 1003587601 |
| Provider Name: | LATIFA BENSOUIDI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2021 |
| Last Updated: | 09/23/2021 |
Provider Practice Location
4400 UNIVERSITY DR
FAIRFAX
VA
220304422
Practice Location Phone/Fax
| Phone: | 7039931000 |
| Fax: |
Provider Mailing Location
3041 MONTICELLO DR
FALLS CHURCH
VA
220421527
Provider Mailing Phone/Fax
| Phone: | 5716662026 |
| Fax: |