Individual
MRS. KIANA MAGHAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
1051 JOHNSTON WILLIS DR, #200, RICHMOND, VA 23235
(804) 320-2705
Mailing address
1051 JOHNSTON WILLIS DR #200, #200, RICHMOND, VA 23235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005942
VA
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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