Individual
GENEVIEVE ROCHEFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 LIBERTY WAY, CARROLLTON, VA 23314-2697
(910) 580-1426
Mailing address
148 LIBERTY WAY, CARROLLTON, VA 23314-2697
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110005092
VA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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