Individual
LIDIYA KALAYOU ADHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3922 DOWNS DR, CHANTILLY, VA 20151-3309
(703) 870-1524
Mailing address
3922 DOWNS DR, CHANTILLY, VA 20151-3309
(703) 870-1524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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