Individual
LATOYA RABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8116 ARLINGTON BLVD, SUITE 183, FALLS CHURCH, VA 22042-1002
(703) 659-4557
(703) 205-9010
Mailing address
8116 ARLINGTON BLVD, SUITE 183, FALLS CHURCH, VA 22042-1002
(703) 659-4557
(703) 205-9010
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363A00000X
Physician Assistant
Primary
0110006815
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
NCCSA
—
01
—
4490
NSAA
VA
Enumeration date
09/09/2015
Last updated
05/08/2023
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