Individual
CAROL ANN DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10640 MAIN ST, #300, FAIRFAX, VA 22030-3821
(703) 246-9355
Mailing address
9842 FAIRFAX SQ, #299, FAIRFAX, VA 22031-4237
(703) 272-3675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN058375
AZ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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