Individual
MS. DONNAROSE KLEMOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11226 GOLDFLOWER CT, FAIRFAX STATION, VA 22039-2026
(703) 250-0510
Mailing address
11226 GOLDFLOWER CT, FAIRFAX STATION, VA 22039-2026
(703) 250-0510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0110840347
VA
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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