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Individual

DANIELLE M. AUGUSTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 554-1130
Mailing address
21785 FILIGREE CT, ASHBURN, VA 20147-6213
(703) 554-1130

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004287
VA
363A00000X
Physician Assistant
013115
NY

Other

Enumeration date
01/29/2009
Last updated
04/21/2016
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