Individual
AMBER LYNN SOURBEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2075 GLENN MITCHELL DR, STE 400, VIRGINIA BEACH, VA 23456-0179
(757) 507-8900
Mailing address
2075 GLENN MITCHELL DR, STE 400, VIRGINIA BEACH, VA 23456-0179
(757) 507-8900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110005448
VA
Other
Enumeration date
07/25/2016
Last updated
02/07/2017
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