Individual
MORIAH HANLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 SAM PERRY BLVD STE 121, FREDERICKSBURG, VA 22401-4465
(540) 899-1600
Mailing address
2530 HARTFORD ST, SAN DIEGO, CA 92110-2312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
10/20/2018
Last updated
07/10/2021
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