Individual
SOPHIA A DANNOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BRICKYARD DR, DILLWYN, VA 23936-3361
(804) 317-3785
Mailing address
5412 MACALPINE CIR APT 1333, GLEN ALLEN, VA 23059-5574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010706
VA
Other
Enumeration date
10/07/2024
Last updated
02/10/2025
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