Individual
MRS. HANNAH ADELE LATTIMORE WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
493 BLACKWELL RD STE 305, WARRENTON, VA 20186-2628
(540) 428-1715
Mailing address
493 BLACKWELL RD STE 305, WARRENTON, VA 20186-2628
(540) 428-1715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003113
VA
363A00000X
Physician Assistant
PA030641
DC
Other
Enumeration date
12/01/2009
Last updated
10/08/2012
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