Individual
JASPREET TAKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12913 LUCA STATION WAY, WOODBRIDGE, VA 22192-7701
(703) 625-8870
Mailing address
12913 LUCA STATION WAY, WOODBRIDGE, VA 22192-7701
(703) 625-8870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009493
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2023
Last updated
10/16/2023
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