Individual
AUGUSTA DANIELLA MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13105 TAZANARI WAY APT 303, WOODBRIDGE, VA 22192-5357
(202) 330-2735
Mailing address
13105 TAZANARI WAY APT 303, WOODBRIDGE, VA 22192-5357
(202) 330-2735
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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