KELLY DISTASIO

CLINTON, MD
NPI1801639554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110011392)
Enumeration Date2024-06-18
Last Update Date2026-08-14
Business Address
KELLY DISTASIO
7503 SURRATTS RD
CLINTON, MD 20735-3358
Phone number: 301-877-7202
Mailing Address
KELLY DISTASIO
7501 SURRATTS RD POB SUITE 303
CLINTON, MD 20735-3362
Phone number:
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