LUCRISHA M BANFORD

FAIRFAX, VA
NPI1497888697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110002011)
Enumeration Date2007-03-14
Last Update Date2011-05-20
Business Address
Miss LUCRISHA M BANFORD PA
3700 JOSEPH SIEWICK DR SUITE 403
FAIRFAX, VA 22033-1744
Phone number: 703-648-2488
Mailing Address
Miss LUCRISHA M BANFORD PA
3700 JOSEPH SIEWICK DR SUITE 403
FAIRFAX, VA 22033-1744
Phone number: 703-648-2488
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