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MS. MELANIE MONIQUE SOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8081 INNOVATION PARK DR STE 301, FAIRFAX, VA 22031-4867
(571) 472-6431
(571) 665-6826
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007673
VA

Other

Enumeration date
01/20/2021
Last updated
09/22/2022
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