Dominion Surgical Assistants, LLC

NPI #1962915454 in Dulles, Virginia

Provider Information

NPI Number
1962915454
Entity Type
Organization
Organization Name
Dominion Surgical Assistants, LLC
Primary Specialty
Registered Nurse - Registered Nurse First Assistant
Enumeration Date
Nov 7, 2017
Last Updated
Aug 24, 2018

Practice Location

Address
24440 STONE SPRINGS BLVD
City
Dulles
ZIP Code
20166
Phone
(703) 861-7660

Authorized Official

Name
MS. IRIS MARION CARLINE FERGUSON, RN, RNFA
Title
PRESIDENT
Phone
(703) 861-7660

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Registered Nurse First AssistantRegistered Nurse First Assistant

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