Individual
TESSA HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(360) 931-9079
Mailing address
15412 CHICKADEE CT, WOODBRIDGE, VA 22193-1668
(360) 931-9079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2019
Last updated
02/17/2023
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