Individual
DELANEY GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3610 KING ST STE D, ALEXANDRIA, VA 22302-1908
(855) 910-3278
Mailing address
3610 KING ST STE D, ALEXANDRIA, VA 22302-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010649
VA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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