Individual
DONNA BAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5226 DAWES AVE, ALEXANDRIA, VA 22311-1404
(703) 212-9190
Mailing address
79 POTOMAC AVE SE APT 410, WASHINGTON, DC 20003-3683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07220953
VA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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