Individual
COLLEEN RITA QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
612 KINGSBOROUGH SQ STE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9342
Mailing address
612 KINGSBOROUGH SQ STE 100, CHESAPEAKE, VA 23320-5041
(757) 547-9294
(757) 213-9342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009692
VA
363A00000X
Physician Assistant
1210557
NY
Other
Enumeration date
08/14/2023
Last updated
11/12/2024
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