Individual
ALICIA MARI HUDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1900
(804) 285-2011
Mailing address
3410 W CLAY ST APT 211B, RICHMOND, VA 23230-4608
(804) 405-7173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009806
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/20/2023
Last updated
05/01/2024
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