Individual
MAUREEN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS, MPH
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 237-4000
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 237-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003472
VA
Other
Enumeration date
12/01/2010
Last updated
06/02/2021
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