Provider Demographics
NPI:1043494412
Name:ZEITOUN, NAGLAA
Entity Type:Individual
Prefix:
First Name:NAGLAA
Middle Name:
Last Name:ZEITOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 WHERNSIDE CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1540
Mailing Address - Country:US
Mailing Address - Phone:703-339-5154
Mailing Address - Fax:703-339-5154
Practice Address - Street 1:9840 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3910
Practice Address - Country:US
Practice Address - Phone:703-425-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist