Individual
LINH TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44084 RIVERSIDE PARKWAY, SUITE 300, LEESBURG, VA 20176-5155
(703) 724-7530
(703) 858-2870
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184256307
—
VA
05
—
30016029960001
—
VA
Enumeration date
02/05/2020
Last updated
02/08/2024
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