Individual
DAWN DEVANEY GAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11900 MARKET ST, RESTON, VA 20190-5614
(703) 709-5400
(703) 709-7716
Mailing address
11641 PINE TREE DR, FAIRFAX, VA 22033-2714
(202) 409-1385
(703) 865-5438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000679
VA
Other
Enumeration date
07/07/2005
Last updated
10/20/2016
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