Individual
MELISSA HAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14605 POTOMAC BRANCH DR STE 300, WOODBRIDGE, VA 22191-3337
(703) 490-1112
Mailing address
14605 POTOMAC BRANCH DR STE 300, WOODBRIDGE, VA 22191-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007428
VA
363AS0400X
Surgical Physician Assistant
0110007428
VA
Other
Enumeration date
09/16/2020
Last updated
09/23/2020
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