Individual
MRS. REBEKAH STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4660 KENMORE AVE STE 305, ALEXANDRIA, VA 22304-1306
(703) 751-5763
(703) 370-8704
Mailing address
14904 RICHMOND HWY STE 103, WOODBRIDGE, VA 22191-3908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001424
VA
363AM0700X
Medical Physician Assistant
0110001424
VA
363AM0700X
Medical Physician Assistant
PA030834
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285765743
—
VA
Enumeration date
03/08/2007
Last updated
08/07/2024
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