Mariella Purvis, PAC
NPI #1023179751 in Washington, District of Columbia
Provider Information
- NPI Number
- 1023179751
- Entity Type
- Individual
- Name
- Mariella Purvis, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1120 19TH ST NW
- Address 2
- SUITE 250
- City
- Washington
- State
- District of Columbia
- ZIP Code
- 20036
- Phone
- (202) 955-6995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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