Individual provider · NPI-1

Dr. Sally May Abilmona, DO

Family Medicine · Fairfax, VA

NPI number1013692300
StatusActive
Last updated in NPPESJun 15, 2023

Details

NPI
1013692300
Entity type
Individual (NPI-1)
Name
Dr. Sally May Abilmona
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2023
Certification date
Jun 15, 2023
Last updated
Jun 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0116037707VAYes

Practice location

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715

Phone 703-391-2020

Mailing address

3650 Joseph Siewick Dr Ste 400
Fairfax, VA 22033-1715

Phone 703-391-2020

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