Individual
SUSAN MZAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA - C
Contact information
Practice address
47100 COMMUNITY PLZ, STERLING, VA 20164
(703) 880-1403
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(703) 786-0475
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001135
VA
Other
Enumeration date
05/18/2009
Last updated
02/24/2022
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