Individual
ALICIA MARIE YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 LOFTIS BLVD STE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9400
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 213-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008738
VA
Other
Enumeration date
01/04/2022
Last updated
08/26/2022
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