Individual
MARY RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W BROAD ST, FALLS CHURCH, VA 22046-4201
(703) 536-4835
Mailing address
134 W BROAD ST, FALLS CHURCH, VA 22046-4201
(703) 538-4835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024158204
VA
Other
Enumeration date
07/01/2008
Last updated
06/12/2014
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