Individual
DIANA DEWOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1635 N. GEORGE MASON DRIVE, SUITE 150, ARLINGTON, VA 22205
(301) 663-6162
(301) 694-8525
Mailing address
1635 N GEORGE MASON DR, STE 150, ARLINGTON, VA 22205-3679
(301) 663-6162
(301) 694-8525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60189
CDS
MD
Enumeration date
01/17/2007
Last updated
03/07/2023
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