Individual
VICTORIA AWADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
239 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1554
(703) 373-7338
Mailing address
239 GARRISONVILLE RD STE 201, STAFFORD, VA 22554-1554
(703) 373-7338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008174
VA
Other
Enumeration date
11/03/2021
Last updated
09/24/2023
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