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Individual

ZENA R CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, MSHS, PA-C

Contact information

Practice address
2280 OPITZ BLVD STE 250, WOODBRIDGE, VA 22191-3362
(703) 523-1720
(855) 210-2389
Mailing address
2280 OPITZ BLVD STE 250, WOODBRIDGE, VA 22191-3362
(703) 523-1720
(855) 210-2389

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003418
VA
363A00000X
Physician Assistant
C05670
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588797997
VA
Enumeration date
10/08/2010
Last updated
04/08/2022
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