Individual
MIA DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
34 SPRING LAKE DR, STAFFORD, VA 22556-6500
(540) 538-6137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1033393
DC
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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