Individual
AMANDA DORA BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11930 DEMOCRACY DR, RESTON, VA 20190-5624
(202) 627-1901
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007351
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/25/2016
Last updated
10/19/2023
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