Individual
MRS. DIANNA LYNN STUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-8500
Mailing address
2819 12TH ST S, ARLINGTON, VA 22204-4821
(703) 979-0974
(703) 979-0974
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA59
DC
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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