Individual
RACHEL LOUISE KANCIANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 SHADY LANE, WHITE STONE, VA 22578-0046
(804) 435-3133
(804) 435-1311
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-002418
VA
Other
Enumeration date
10/19/2006
Last updated
11/06/2008
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