Provider Demographics
NPI:1326510538
Name:FLAWLESS BEAUTY
Entity Type:Organization
Organization Name:FLAWLESS BEAUTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHSENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-203-2590
Mailing Address - Street 1:20338 BRENTMEADE TER
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-6456
Mailing Address - Country:US
Mailing Address - Phone:703-203-2590
Mailing Address - Fax:
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 135
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2533
Practice Address - Country:US
Practice Address - Phone:202-808-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center