AMANDA UNALIVIA BURACKER

FAIRFAX, VA
NPI1174901953
Other NameAMANDA ROSE UNALIVIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110005079)
Additional Taxonomies207N00000X Dermatology
(Licence: NM  PA2015-0018)
Enumeration Date2015-05-12
Last Update Date2024-07-23
Business Address
AMANDA UNALIVIA BURACKER PA-C
3025 HAMAKER CT STE 340
FAIRFAX, VA 22031-2237
Phone number: 703-849-8036
Mailing Address
AMANDA UNALIVIA BURACKER PA-C
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008