Individual
MELISSA BROOKE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(240) 686-2300
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06506
MD
Other
Enumeration date
09/06/2017
Last updated
09/23/2022
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