Individual
MRS. TAMARA D KANESHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8260 WILLOW OAKS CORPORATE DR STE 650, FAIRFAX, VA 22031-4531
(703) 776-2000
(571) 665-6797
Mailing address
8260 WILLOW OAKS CORPORATE DR STE 650, FAIRFAX, VA 22031-4531
(703) 776-2000
(571) 665-6797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011215
VA
363A00000X
Physician Assistant
—
NY
Other
Enumeration date
08/31/2018
Last updated
04/07/2026
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