Individual
ALYSSA R. WAITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1250 E MARSHALL ST, DEPARTMENT OF EMERGENCY MEDICINE, RICHMOND, VA 23298-5051
(804) 828-0999
(804) 628-0384
Mailing address
12801 IRON BRIDGE RD, STE 200, CHESTER, VA 23831-1669
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002172
VA
Other
Enumeration date
10/04/2006
Last updated
01/19/2016
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