Individual
CAITLIN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
42627 HARRIS ST, SOUTH RIDING, VA 20152-3999
(703) 899-6647
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2000071
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2024
Last updated
06/13/2024
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