Individual
DANIELLE M LANDZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10615 JUDICIAL DR STE 401, FAIRFAX, VA 22030-7501
(571) 295-6602
Mailing address
5004 PHEASANT RIDGE RD, FAIRFAX, VA 22030-6215
(703) 895-2310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002311
VA
363AM0700X
Medical Physician Assistant
PA030493
DC
Other
Enumeration date
08/24/2006
Last updated
06/18/2020
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