Individual
MRS. JANET ELIZABETH HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 823-4254
Mailing address
42069 FREMONT PRESERVE SQ, ALDIE, VA 20105-2979
(571) 354-5447
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B62480174
DRIVERS LICENSE
VA
Enumeration date
02/05/2019
Last updated
11/10/2023
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