Individual
SUMA RAJARAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47744 POTOMAC FALLS, POTOMAC FALLS, VA 20165
(703) 665-0710
Mailing address
47744 FATHOM PLACE, POTOMAC FALLS, VA 20165
(703) 665-0710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006299
VA
Other
Enumeration date
06/05/2008
Last updated
09/06/2013
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