Individual
TINA M C REMILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 14TH ST NW, WASHINGTON, DC 20009-4308
(202) 745-6171
(202) 745-0238
Mailing address
705 DALE DR, SILVER SPRING, MD 20910-4217
(301) 920-0996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011002084
VA
363A00000X
Physician Assistant
C03002
MD
363A00000X
Physician Assistant
Primary
PA030346
DC
Other
Enumeration date
04/04/2006
Last updated
07/18/2025
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