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Individual

RYAN CHICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801-8679
(540) 689-5500
(757) 431-7116
Mailing address
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801-8679
(540) 689-5500
(757) 431-7116

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004514
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295150431
VA
Enumeration date
02/25/2014
Last updated
04/30/2019
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