Individual
AMANDA BAILEY PEROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
817 VOLVO PKWY, CHESAPEAKE, VA 23320-2855
(757) 668-4630
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010135
VA
Other
Enumeration date
12/27/2023
Last updated
11/22/2024
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