Individual
EMMA MARIA TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3204
(703) 810-5202
Mailing address
650 AD HOC RD, GREAT FALLS, VA 22066-2629
(703) 342-2932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
04/30/2024
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