Individual
KIMBERLY CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
1808 OLD MEADOW RD APT 217, MC LEAN, VA 22102-1827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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