Individual
AMANDA LYNN MALGIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7512 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-9860
(703) 753-9863
Mailing address
7512 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 753-9860
(703) 753-9863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003624
VA
363A00000X
Physician Assistant
50.002784
OH
Other
Enumeration date
07/23/2008
Last updated
08/25/2014
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