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Individual

JAIME ALEASE HOGANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6355 WALKER LN STE 406, ALEXANDRIA, VA 22310-3250
(703) 780-9014
Mailing address
1990 OLD BRIDGE RD STE 201, WOODBRIDGE, VA 22192-2383
(703) 492-6822
(703) 492-6826

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24176794
VA

Other

Enumeration date
05/07/2019
Last updated
12/05/2024
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