Individual
TRACY TARTAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13350 FRANKLIN FARM RD STE 220, HERNDON, VA 20171-4095
(703) 810-5204
(703) 810-5411
Mailing address
PO BOX 75868, BALTIMORE, MD 21275-5868
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001401
VA
Other
Enumeration date
12/03/2018
Last updated
10/22/2020
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