Individual
MS. TARA A ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4094 MAJESTIC LN, PMB: #298, FAIRFAX, VA 22033-2104
(703) 631-1745
Mailing address
12769 FAIR CREST CT, FAIRFAX, VA 22033-3840
(703) 901-3410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004119
VA
Other
Enumeration date
01/15/2013
Last updated
01/15/2016
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