ANTONIETTA VAILLANCOURT, PA

PA

Surgical Physician Assistant

NPI: 1811403033IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

C06707(MD)

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

AMD-789(HI)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2017

Contact & Hours

Address: 9561 WHITE PILLAR TER
GAITHERSBURG, MD 20882
Phone: (301) 641-8354

Quick Facts

NPI: 1811403033
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 9

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