Individual
ALLYSON L RICCIARDIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3020 HAMAKER CT STE 401, FAIRFAX, VA 22031-2220
(703) 849-0770
(703) 849-0774
Mailing address
3020 HAMAKER CT STE 401, FAIRFAX, VA 22031-2220
(703) 849-0770
(703) 849-0774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001966
VA
Other
Enumeration date
01/28/2009
Last updated
11/27/2023
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