Individual
JESSICA A MARTYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5665 LOWERY RD STE 100, NORFOLK, VA 23502-2220
(757) 422-2966
(757) 351-6051
Mailing address
5665 LOWERY RD STE 100, NORFOLK, VA 23502-2220
(757) 422-2966
(757) 351-6051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003644
VA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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