Individual
BOI VAN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 JOHNSTON WILLIS DR STE 100, NORTH CHESTERFIELD, VA 23235-4730
(804) 330-7990
(804) 330-3541
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 391-4171
(804) 200-6229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
0110009781
VA
Other
Enumeration date
09/07/2023
Last updated
09/11/2024
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