Individual
MS. ALICE NKECHI IWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 207, FREDERICKSBURG, VA 22401-4467
(540) 374-3200
(540) 374-3210
Mailing address
1101 SAM PERRY BLVD, SUITE 207, FREDERICKSBURG, VA 22401-4467
(540) 374-3200
(540) 374-3210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002690
VA
363AS0400X
Surgical Physician Assistant
010413-1
NY
Other
Enumeration date
04/19/2007
Last updated
02/15/2009
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