Individual
OLIVIA EBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(443) 243-8425
Mailing address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
11/15/2024
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