ANNA BONICKY

FAIRFAX, VA
NPI1265979678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-005620)
Enumeration Date2017-01-23
Last Update Date2017-01-23
Business Address
-- ANNA BONICKY PA-C
4094 MAJESTIC LN SUITE 298
FAIRFAX, VA 22033-2104
Phone number: 703-631-1745
Mailing Address
-- ANNA BONICKY PA-C
2800 HICKORY ST
ALEXANDRIA, VA 22305-2511
Phone number: 571-217-3070