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Individual

JENNA KOLLAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1101 SAM PERRY BLVD STE 211, FREDERICKSBURG, VA 22401-4465
(540) 372-7792
(540) 372-2073
Mailing address
2300 FALL HILL AVE STE 509, FREDERICKSBURG, VA 22401-3343
(540) 741-2277
(540) 741-1029

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005892
VA
363A00000X
Physician Assistant
C06236
MD

Other

Enumeration date
06/10/2016
Last updated
03/17/2018
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