Individual
KATIE MARIE JAGMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
(703) 523-9570
Mailing address
95 DUNN DR STE 123, STAFFORD, VA 22556-1503
(703) 523-9570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-008804
VA
363A00000X
Physician Assistant
027201
NY
363A00000X
Physician Assistant
C0008632
MD
Other
Enumeration date
02/21/2020
Last updated
02/20/2023
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