Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 0101247124 | VA |
NPI | 1033432539 |
---|---|
Provider Name | Dr. Julie-Ann M Crewalk |
First Address | Fairfax, VA 22031 |
Second Address | Fairfax, VA 22031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2010 |
Last Update Date | 11/03/2010 |