Individual
MICHAELA LYNN VITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7432 LITTLE RIVER TPKE, ANNANDALE, VA 22003-3013
(703) 658-7060
Mailing address
21772 SLATE RANGE TER UNIT 102, ASHBURN, VA 20147-7801
(301) 616-7901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007940
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/27/2021
Last updated
06/30/2021
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