Individual
MIRIAM MAGDALENA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 DIGGES RD STE 105, MANASSAS, VA 20110-4414
(703) 369-5000
Mailing address
2000 N BEAUREGARD ST UNIT 628, ALEXANDRIA, VA 22311-4645
(540) 220-3594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007354
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/24/2020
Last updated
12/27/2022
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