Individual
MISS JEANINE MARIE GARGIULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2501 PARKERS LN, SUITE 200, ALEXANDRIA, VA 22306-3209
(703) 892-6500
(703) 799-5989
Mailing address
2501 PARKERS LN, SUITE 200, ALEXANDRIA, VA 22306-3209
(703) 892-6500
(703) 799-5989
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-002806
VA
Other
Enumeration date
06/23/2008
Last updated
02/18/2009
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