Individual
ASHLEY RENEE RUHOMUTALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
21836 LEATHERLEAF CT, STERLING, VA 20164-2353
(443) 686-1922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007657
VA
Other
Enumeration date
02/09/2020
Last updated
03/25/2022
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