Individual
GINA MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6907 VILLA DEL REY CT, SPRINGFIELD, VA 22150-3064
(703) 901-5852
Mailing address
6907 VILLA DEL REY CT, SPRINGFIELD, VA 22150-3064
(703) 901-5852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1208968
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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