Individual
RAYANNE ELISE PASSARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11656 PLAZA AMERICA DR, RESTON, VA 20190-4700
(703) 467-9080
Mailing address
11656 PLAZA AMERICA DR, RESTON, VA 20190-4700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003424
VA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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