Individual
KATERINA M DIACONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
15117 SKY VALLEY DR, HAYMARKET, VA 20169-8207
(703) 403-7460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004487
VA
363AS0400X
Surgical Physician Assistant
PA6995
MA
Other
Enumeration date
03/12/2014
Last updated
01/17/2024
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