Individual
AMANDA JOAN FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 TOWN CENTER DR, RESTON, VA 20190-5896
(571) 234-8137
Mailing address
4724 QUIET WOODS LN APT D, FAIRFAX, VA 22033-5057
(703) 901-2940
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110007060
VA
Other
Enumeration date
01/13/2019
Last updated
03/09/2020
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