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Individual

MRS. HALEY S. VASUKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13034 RIVERS BEND RD, CHESTER, VA 23836-2564
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD, SUITE D, CHESTER, VA 23836-8632
(804) 571-5000
(804) 518-1314

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003889
VA
363A00000X
Physician Assistant
TL1593
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245531185
VA
Enumeration date
11/09/2010
Last updated
02/19/2014
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