Individual
MRS. SAMANTHA JANE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 SUNSET LANE 1211-A, CULPEPER, VA 22701
(540) 825-2900
Mailing address
52 W SHIRLEY AVE, WARRENTON, VA 20186
(540) 347-9220
(540) 347-9298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001404
VA
Other
Enumeration date
04/27/2009
Last updated
10/24/2012
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