DAMON J LICARI

FAIRFAX, VA
NPI1962495069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001250)
Enumeration Date2005-08-24
Last Update Date2022-03-15
Business Address
DAMON J LICARI PA
8081 INNOVATION PARK DR STE 602
FAIRFAX, VA 22031-4867
Phone number: 571-472-3270
Mailing Address
DAMON J LICARI PA
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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