Individual
MRS. ROSEMARY MANTELLA LETHBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10620 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 710-1086
(540) 710-1126
Mailing address
10620 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2637
(540) 710-1086
(540) 710-1126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004467
VA
363AM0700X
Medical Physician Assistant
MA054696
PA
Other
Enumeration date
11/02/2010
Last updated
07/12/2016
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