STACIA D PETRANCOSTA

FALLS CHURCH, VA
NPI1063735959
Former NameSTACIA D OUTTEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2010-03-05
Last Update Date2018-08-22
Business Address
STACIA D PETRANCOSTA PA-C
500 W ANNANDALE RD
FALLS CHURCH, VA 22046
Phone number: 703-521-6662
Mailing Address
STACIA D PETRANCOSTA PA-C
9555 PINE CLUSTER CIR
VIENNA, VA 22181-5440
Phone number: 910-578-7053
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