Individual
MRS. TRISTEN RUTHANNE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11800 SUNRISE VALLEY DR, RESTON, VA 20191-5300
(703) 709-1114
(703) 709-1117
Mailing address
11800 SUNRISE VALLEY DR, RESTON, VA 20191-5300
(703) 709-1114
(703) 709-1117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002479
VA
Other
Enumeration date
08/10/2010
Last updated
10/09/2023
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