Individual
NICOLE J HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2304 W MERCURY BLVD, HAMPTON, VA 23666-3115
(757) 951-1579
Mailing address
10510 JEFFERSON AVE STE B, NEWPORT NEWS, VA 23601-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207887
VA
Other
Enumeration date
04/05/2021
Last updated
07/23/2024
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