Individual
MARC ADRIAN ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6101 FOX RUN, FAIRFAX, VA 22030-5949
(703) 307-2508
Mailing address
6101 FOX RUN, FAIRFAX, VA 22030-5949
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA-0082
DC
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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