Individual
IRMA R MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1860 TOWN CENTER DR, RESTON, VA 20190-5896
(703) 471-0919
Mailing address
11341 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 471-0919
(703) 742-9081
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024091574
VA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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