Individual
AMY HUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
PO BOX 7400, LEESBURG, VA 20177-7400
(703) 771-5100
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001212948
VA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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