Search › Virginia › 104100000X
Tami Light
NPI 1477329712 · on the registry since 2023
Practice
- Address
- 10755 Ambassador Dr Ste 201
Manassas, VA 20109 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia