Individual
GRACE HUNDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 UNIVERSITY DR FL 3, FAIRFAX, VA 22030-2503
(703) 383-8130
Mailing address
3801 UNIVERSITY DR FL 3, FAIRFAX, VA 22030-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008539
VA
Other
Enumeration date
09/13/2016
Last updated
06/24/2024
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