Individual
MRS. AUTUMN SKYE MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13911 ST FRANCIS BLVD STE 101, MIDLOTHIAN, VA 23114-3256
(804) 423-9913
Mailing address
13911 ST FRANCIS BLVD STE 101, MIDLOTHIAN, VA 23114-3256
(804) 423-9913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0000008202
VA
363A00000X
Physician Assistant
Primary
0110008202
VA
Other
Enumeration date
12/07/2021
Last updated
08/25/2024
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