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Individual

NA'ZAE ATHENA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
680 OYSTER POINT RD STE 200, NEWPORT NEWS, VA 23606-4570
(757) 668-4851
Mailing address
680 OYSTER POINT RD STE 200, NEWPORT NEWS, VA 23606-4570
(757) 668-4851

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110009412
VA

Other

Enumeration date
12/09/2022
Last updated
10/23/2023
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