Individual
AMANDA VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1201 LAKE JAMES DR STE 200, VIRGINIA BEACH, VA 23464-6780
(757) 523-0022
Mailing address
536 ELDRIDGE LN, CHESAPEAKE, VA 23323-6448
(757) 523-0022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011772
VA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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