Individual
KAITLYN H GAVAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1239 CEDAR RD, CHESAPEAKE, VA 23322-7103
(757) 549-9935
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006561
VA
Other
Enumeration date
02/08/2019
Last updated
09/26/2022
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