Individual
KATHAREEYA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
702 TITAN LOOP, WHITEMAN AIR FORCE BASE, MO 65305-1242
(603) 933-0483
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
04/17/2023
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