Individual
JESSICA A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7432 LITTLE RIVER TPKE, ANNANDALE, VA 22003-3013
(703) 658-7060
(703) 658-3150
Mailing address
7432 LITTLE RIVER TPKE, ANNANDALE, VA 22003-3013
(703) 658-7060
(703) 658-3150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002345
VA
Other
Enumeration date
08/29/2006
Last updated
12/21/2018
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