Individual
MRS. DIANE S SEMENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
243 WOODROW WILSON AVE, FISHERSVILLE, VA 22939
(540) 332-7235
(540) 332-7235
Mailing address
P.O. BOX 1500, BOX W1, FISHERSVILLE, VA 22939
(540) 332-7235
(540) 332-7194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110000167
VA
Other
Enumeration date
08/17/2006
Last updated
03/22/2016
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