Dianne Victoria Liga, RPA-C
Physician Assistant in Fairfax, VA. Individual provider (NPI-1).
NPI number1487878286
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1487878286
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dianne Victoria Liga
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2007
- Certification date
- Mar 23, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001911 | VA | Yes |
Practice location
8500 Executive Park Ave Ste 200Fairfax, VA 22031-2228
Phone 571-748-4588
Mailing address
8500 Executive Park Ave Ste 200Fairfax, VA 22031-2228
Phone 571-748-4588
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