Individual
MIRANDA NICOLE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6652
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0116033753
VA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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