Individual
KATHRYN JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 289-1400
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009874
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
12/24/2025
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