Individual
MRS. REBECCA ALYSON LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44084 RIVERSIDE PARKWAY, SUITE 300, LEESBURG, VA 20176-5155
(703) 724-7530
(703) 858-2870
Mailing address
224-D CORNWALL ST., NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006475
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295142388
—
VA
05
—
30015883820001
—
VA
Enumeration date
07/21/2014
Last updated
03/07/2024
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