RITA JACQUELINE STANISLAWSKI

FAIRFAX, VA
NPI1891070439
Former NameRITA JACQUELINE PORTOCARRERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110003708)
Enumeration Date2011-10-14
Last Update Date2021-08-05
Business Address
RITA JACQUELINE STANISLAWSKI PA-C
8081 INNOVATION PARK DR
FAIRFAX, VA 22031-4867
Phone number: 571-472-4724
Mailing Address
RITA JACQUELINE STANISLAWSKI PA-C
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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