Individual
LEAH USSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 DOC STONE RD, STAFFORD, VA 22556-4515
(412) 953-3714
Mailing address
575 ABBERLY DR APT 101, STAFFORD, VA 22554-6557
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110008827
VA
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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