Individual
GILDA LOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6211 CENTREVILLE RD, SUITE 700, CENTREVILLE, VA 20121-2641
(703) 222-0002
(703) 449-9890
Mailing address
6211 CENTREVILLE RD, SUITE 700, CENTREVILLE, VA 20121-2641
(703) 222-0002
(703) 449-9890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002189
VA
Other
Enumeration date
09/16/2006
Last updated
06/02/2021
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