Individual
SARAH J DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 TOWN CENTER DR, SUITE 415, RESTON, VA 20190-3215
(703) 709-1492
Mailing address
9330 BRANCHSIDE LN, FAIRFAX, VA 22031-6018
(202) 262-0748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001916
VA
Other
Enumeration date
01/16/2006
Last updated
07/25/2007
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