Individual
MARY E PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8505 ARLINGTON BLVD, SUITE 450, FAIRFAX, VA 22031-4621
(703) 280-1234
(703) 280-1235
Mailing address
8505 ARLINGTON BLVD, SUITE 450, FAIRFAX, VA 22031-4621
(703) 280-1234
(703) 280-1235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024076870
VA
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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