Individual
CARLY C WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S, ATC, LAT
Contact information
Practice address
15300 E WEST RD, MIDLOTHIAN, VA 23114-3372
(804) 379-2414
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010282
VA
Other
Enumeration date
10/10/2016
Last updated
12/02/2024
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